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NPI Code Detail

MEDICARE: CAREGIVERS ON CALL, LLC

MEDICARE: CAREGIVERS ON CALL, LLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1700244712
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREGIVERS ON CALL, LLC
Provider Business Mailing Address
First Line : 3426 PARKRIDGE GLEN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4919
Country : US
Telephone Number : 832-794-2100
Fax Number :
Provider Business Practice Location Address
First Line : 3426 PARKRIDGE GLEN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4919
Country : US
Telephone Number : 832-794-2100
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DONALD DAM TRONG LE
Credential :
Telephone Number : 832-794-2100
Provider Enumeration Date : 02/04/2016
Last Update Date : 02/04/2016

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Directions to “CAREGIVERS ON CALL, LLC ” Practice Location

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