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NPI Code Detail

MEDICARE: PRIORITY HEALTHCARE LLC

MEDICARE: PRIORITY HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number : 1023268729
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIORITY HEALTHCARE LLC
Provider Business Mailing Address
First Line : 6046 FM 2920 RD
Second Line : SUITE 404
City : SPRING
State : TX
Zip : 77379-2542
Country : US
Telephone Number : 832-928-9827
Fax Number :
Provider Business Practice Location Address
First Line : 14637 PEBBLE BEND DR
Second Line :
City : HOUSTON
State : TX
Zip : 77068-2922
Country : US
Telephone Number : 832-484-8400
Fax Number : 832-484-1675
Authorized Official
Title or Position : CEO
Name : KIMBERLY F ZIEGLER
Credential :
Telephone Number : 832-484-8400
Provider Enumeration Date : 09/30/2008
Last Update Date : 09/30/2008

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Directions to “PRIORITY HEALTHCARE LLC ” Practice Location

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