Provider Demographics
NPI:1255902060
Name:NGCLINIQUEO2
Entity type:Organization
Organization Name:NGCLINIQUEO2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:N
Authorized Official - Last Name:OCHEI
Authorized Official - Suffix:
Authorized Official - Credentials:CRCP
Authorized Official - Phone:469-487-5754
Mailing Address - Street 1:1304 ROSENBERG DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3535
Mailing Address - Country:US
Mailing Address - Phone:469-487-5754
Mailing Address - Fax:
Practice Address - Street 1:1304 ROSENBERG DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3535
Practice Address - Country:US
Practice Address - Phone:469-487-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NGCLINIQUEO2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral CareGroup - Single Specialty