MEDICARE: MS. STEPHANIE J EVULEOCHA SPECIALIST

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
1	171M00000X	Case Manager/Care Coordinator	19673342	TX
2	374U00000X	Home Health Aide	10073640	MO
3	376K00000X	Nurse's Aide	10073640	MO
4	174400000X	Specialist	19673342	TX
5	372500000X	Chore Provider	19673342	TX
6	372600000X	Adult Companion	19673342	TX
7	3747A0650X	Attendant Care Provider	19673342	TX
8	3747P1801X	Personal Care Attendant	19673342	TX
9	376J00000X	Homemaker	19673342	TX

General Provider Information

NPI Number	:	1093042624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE J EVULEOCHA SPECIALIST

Provider Business Mailing Address
First Line	:	8801 HAMMERLY BLVD
Second Line	:	SUITE# 1803
City	:	HOUSTON
State	:	TX
Zip	:	77080-6508
Country	:	US
Telephone Number	:	832-267-6386
Fax Number	:	713-647-0501

Provider Business Practice Location Address
First Line	:	8801 HAMMERLY BLVD
Second Line	:	SUITE# 1803
City	:	HOUSTON
State	:	TX
Zip	:	77080-6508
Country	:	US
Telephone Number	:	832-267-6386
Fax Number	:	713-647-0501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	11/03/2009

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