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NPI Code Detail

MEDICARE: HENRY ELUEBO

MEDICARE: HENRY ELUEBO
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
1163WH0200XHome Health Registered Nurse671276TX

General Provider Information

NPI Number : 1427093319
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY ELUEBO
Provider Business Mailing Address
First Line : 226 N WATERFORD OAKS DR
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-2324
Country : US
Telephone Number : 972-293-3324
Fax Number : 972-293-3324
Provider Business Practice Location Address
First Line : 226 N WATERFORD OAKS DR
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-2324
Country : US
Telephone Number : 972-293-3324
Fax Number : 972-293-3324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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