NPI age
20 years
Enumerated 2005-12-19
Across 11714 active home health providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 011818 | HCSSA LICENSE NUMBER |
| 01 (TX) | 45D1040928 | CLIA WAIVER |
| 05 (TX) | 1802233-01 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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