Provider Demographics
NPI:1053135533
Name:YADH-EL MEDICAL GROUP LLC
Entity type:Organization
Organization Name:YADH-EL MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:OGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-509-4705
Mailing Address - Street 1:12650 CROSSROADS PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3371
Mailing Address - Country:US
Mailing Address - Phone:281-509-4705
Mailing Address - Fax:
Practice Address - Street 1:12650 CROSSROADS PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3371
Practice Address - Country:US
Practice Address - Phone:281-509-4705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)