Provider Demographics
NPI:1164394763
Name:EMKES HEALTH & WELLNESS
Entity type:Organization
Organization Name:EMKES HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:260-797-6639
Mailing Address - Street 1:20727 VIA DEL CORSO LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4276
Mailing Address - Country:US
Mailing Address - Phone:260-797-6639
Mailing Address - Fax:
Practice Address - Street 1:15103 MASON RD STE E3
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6458
Practice Address - Country:US
Practice Address - Phone:260-797-6639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care