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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346443066 | NPPES |
| Texas | MEDICAID | 001007886 | |
| Texas | MEDICAID | 001007700 | |
| Texas | MEDICAID | 001026121 |
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