Provider Demographics
NPI:1710532148
Name:ICOME2U NURSING PROVIDERS INC
Entity type:Organization
Organization Name:ICOME2U NURSING PROVIDERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUBA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-929-9770
Mailing Address - Street 1:419 VINTAGE LN
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-3172
Mailing Address - Country:US
Mailing Address - Phone:281-929-9770
Mailing Address - Fax:832-336-3831
Practice Address - Street 1:419 VINTAGE LN
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-3172
Practice Address - Country:US
Practice Address - Phone:281-929-9770
Practice Address - Fax:832-336-3831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty