Provider Demographics
NPI:1902072846
Name:POTENTIAL HEALTHCARE GROUP,INC
Entity Type:Organization
Organization Name:POTENTIAL HEALTHCARE GROUP,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:O
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-972-3800
Mailing Address - Street 1:7111 HARWIN DR
Mailing Address - Street 2:218
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2129
Mailing Address - Country:US
Mailing Address - Phone:713-972-3800
Mailing Address - Fax:713-972-3801
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:218
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:713-972-3800
Practice Address - Fax:713-972-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment