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NPI Code Detail

MEDICARE: NORTHEAST TEXAS HOME HEALTH AGENCY LTD

MEDICARE: NORTHEAST TEXAS HOME HEALTH AGENCY LTD
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
1251E00000XHome Health Agency1079TX

General Provider Information

NPI Number : 1538458633
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST TEXAS HOME HEALTH AGENCY LTD
Provider Business Mailing Address
First Line : 8150 N CENTRAL EXPY STE 1800
Second Line :
City : DALLAS
State : TX
Zip : 75206-1883
Country : US
Telephone Number : 469-839-3777
Fax Number : 469-983-2083
Provider Business Practice Location Address
First Line : 1616 AZALEA DR STE 101
Second Line :
City : TEMPLE
State : TX
Zip : 76502-2772
Country : US
Telephone Number : 254-751-1600
Fax Number : 254-751-1604
Authorized Official
Title or Position : LICENSING MANAGER
Name : ANGIE MARTIN
Credential :
Telephone Number : 903-787-7609
Provider Enumeration Date : 03/30/2011
Last Update Date : 03/27/2026

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Directions to “NORTHEAST TEXAS HOME HEALTH AGENCY LTD ” Practice Location

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