Kizzee, Christina Etuk

Kizzee, Christina Etuk is an sole proprietor health care provider with primary practice located at 11970 Wilcrest Dr Ste 102 , Houston TX 77031-1923. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Kizzee, Christina Etuk can be contacted via phone (281) 530-6780.

Contact Information

Primary practice address
11970 Wilcrest Dr Ste 102 Houston TX 77031-1923
Phone: (281) 530-6780
Fax: (281) 530-8188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 001007700 Texas
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 001007699 Texas

Profile Details

NPI number 1346443066
LBN Legal business name Kizzee, Christina Etuk
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Nov 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346443066 NPPES
Texas MEDICAID 001007886
Texas MEDICAID 001007700
Texas MEDICAID 001026121

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