MEDICARE: PRO HEALTH SOLUTIONS 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1609062314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	7731 CLARIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1816
Country	:	US
Telephone Number	:	713-271-7300
Fax Number	:	713-771-0232

Provider Business Practice Location Address
First Line	:	7731 CLARIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1816
Country	:	US
Telephone Number	:	713-271-7300
Fax Number	:	713-771-0232

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARY G. WHITE
Credential	:	R.N.
Telephone Number	:	713-271-7300

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	07/25/2008

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Directions to “PRO HEALTH SOLUTIONS INC ” Practice Location

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