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NPI Code Detail

MEDICARE: PTL HEALTH CARE, INC.

MEDICARE: PTL HEALTH CARE, 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
1251E00000XHome Health Agency009392TX

General Provider Information

NPI Number : 1740374180
Entity Type Code : Organization
Provider Name (Legal Business Name) : PTL HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 130 UPTOWN AVE STE B
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-7559
Country : US
Telephone Number : 956-838-1801
Fax Number : 956-838-0170
Provider Business Practice Location Address
First Line : 130 UPTOWN AVE STE B
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-7559
Country : US
Telephone Number : 956-838-1801
Fax Number : 956-838-0170
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROSAURA BOTELLO
Credential : RN
Telephone Number : 956-838-1801
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/14/2023

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Directions to “PTL HEALTH CARE, INC. ” Practice Location

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