Samuel, Christie

Samuel, Christie is an sole proprietor health care provider with primary practice located at 12360 Richmond Ave Apt 821 , Houston TX 77082-2450. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Samuel, Christie can be contacted via phone (713) 518-5575.

Contact Information

Primary practice address
12360 Richmond Ave Apt 821 Houston TX 77082-2450
Phone: (713) 518-5575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1558802041
LBN Legal business name Samuel, Christie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558802041 NPPES
Texas MEDICAID N/A

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