Provider Demographics
NPI:1265283477
Name:THE NKOSI PROJECT
Entity type:Organization
Organization Name:THE NKOSI PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-409-2744
Mailing Address - Street 1:15107 FM 2100 RD STE E
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-1650
Mailing Address - Country:US
Mailing Address - Phone:281-462-4804
Mailing Address - Fax:
Practice Address - Street 1:15107 FM 2100 RD STE E
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-1650
Practice Address - Country:US
Practice Address - Phone:281-462-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE NKOSI PROJECT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center