MEDICARE: TALENTED FINGERS, 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
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1760849137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALENTED FINGERS, LLC

Provider Business Mailing Address
First Line	:	11800 JONES RD
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77070-5487
Country	:	US
Telephone Number	:	972-809-4185
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 JONES RD
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77070-5487
Country	:	US
Telephone Number	:	972-809-4185
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. ELIZABETH GRICE
Credential	:
Telephone Number	:	972-809-4185

Provider Enumeration Date	:	01/15/2016
Last Update Date	:	01/15/2016

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