Provider Demographics
NPI:1861064701
Name:CUO MEDICAL SERVICES
Entity type:Organization
Organization Name:CUO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-550-2016
Mailing Address - Street 1:3509 WOODSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-5101
Mailing Address - Country:US
Mailing Address - Phone:739-820-7832
Mailing Address - Fax:469-550-2017
Practice Address - Street 1:20 NORTHGATE DRIVE
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:469-550-2016
Practice Address - Fax:469-550-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care