Provider Demographics
NPI:1780977942
Name:EMMY GENERAL
Entity type:Organization
Organization Name:EMMY GENERAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-919-7678
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:#410S
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:281-919-7678
Mailing Address - Fax:713-513-5558
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:#410S
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:281-919-7678
Practice Address - Fax:713-513-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy