Provider Demographics
NPI:1174693816
Name:GOLD HEALTHCARE SYSTEM
Entity type:Organization
Organization Name:GOLD HEALTHCARE SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EGBUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-782-8445
Mailing Address - Street 1:PO BOX 720009
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-0009
Mailing Address - Country:US
Mailing Address - Phone:713-782-8445
Mailing Address - Fax:713-268-1148
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE 221
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:713-782-8445
Practice Address - Fax:713-268-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services