MEDICARE: TEXAS PHC, INC.

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	253Z00000X	In Home Supportive Care Agency	APPLYING	TX

General Provider Information

NPI Number	:	1548706682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PHC, INC.

Provider Business Mailing Address
First Line	:	8105 RASOR BLVD
Second Line	:	SUITE 297
City	:	PLANO
State	:	TX
Zip	:	75024-0116
Country	:	US
Telephone Number	:	855-881-7442
Fax Number	:	800-758-1532

Provider Business Practice Location Address
First Line	:	8105 RASOR BLVD
Second Line	:	SUITE 297
City	:	PLANO
State	:	TX
Zip	:	75024-0116
Country	:	US
Telephone Number	:	855-881-7442
Fax Number	:	800-758-1532

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TAMI J SANDEFER
Credential	:
Telephone Number	:	855-881-7442

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	01/12/2017

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Directions to “TEXAS PHC, INC. ” Practice Location

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