Provider Demographics
NPI:1053035410
Name:EXCELLENCE COMMUNITY SERVICES, PLLC
Entity type:Organization
Organization Name:EXCELLENCE COMMUNITY SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YAISETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:TRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-933-1559
Mailing Address - Street 1:101 SOUTHWESTERN BLVD STE 209-B
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3548
Mailing Address - Country:US
Mailing Address - Phone:346-933-1559
Mailing Address - Fax:281-936-1626
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 209-B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3548
Practice Address - Country:US
Practice Address - Phone:346-933-1559
Practice Address - Fax:281-936-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local