MEDICARE: TOPLINE 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
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1144087594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOPLINE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4548 HOUNDS TAIL LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4334
Country	:	US
Telephone Number	:	682-651-1333
Fax Number	:	682-286-5888

Provider Business Practice Location Address
First Line	:	4548 HOUNDS TAIL LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4334
Country	:	US
Telephone Number	:	682-651-1333
Fax Number	:	682-286-5888

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HELLEN KARIU
Credential	:
Telephone Number	:	682-651-1333

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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