MEDICARE: FACIA CORPORATION

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	332B00000X	Durable Medical Equipment & Medical Supplies	0090965	TX
2	251E00000X	Home Health Agency	010448	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821039603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FACIA CORPORATION

Provider Business Mailing Address
First Line	:	8323 SOUTHWEST FWY
Second Line	:	SUITE 800
City	:	HOUSTON
State	:	TX
Zip	:	77074-1615
Country	:	US
Telephone Number	:	713-995-8146
Fax Number	:	713-995-8169

Provider Business Practice Location Address
First Line	:	8323 SOUTHWEST FWY
Second Line	:	SUITE 800
City	:	HOUSTON
State	:	TX
Zip	:	77074-1615
Country	:	US
Telephone Number	:	713-995-8146
Fax Number	:	713-995-8169

Authorized Official
Title or Position	:	SENIOR CONSULTANT
Name	:	CHARLENE FACIA TAYLOR
Credential	:
Telephone Number	:	713-995-8146

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	11/16/2010

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Directions to “FACIA CORPORATION ” Practice Location

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