MEDICARE: ALICIA A POLLARD

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	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548583222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALICIA A POLLARD

Provider Business Mailing Address
First Line	:	PO BOX 820103
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-0103
Country	:	US
Telephone Number	:	817-479-3330
Fax Number	:	817-840-7751

Provider Business Practice Location Address
First Line	:	7801 BRANDI LN STE H
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4697
Country	:	US
Telephone Number	:	817-479-3330
Fax Number	:	817-840-7751

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ALICIA ANN POLLARD
Credential	:	RRT/RCP
Telephone Number	:	816-656-1801

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	05/23/2019

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Directions to “ALICIA A POLLARD ” Practice Location

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