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NPI Code Detail

MEDICARE: SHIFACARE INC.

MEDICARE: SHIFACARE 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 Agency010762TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010762OTHERTXTXDADS - PAS

General Provider Information

NPI Number : 1881813954
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHIFACARE INC.
Provider Business Mailing Address
First Line : 3901 AIRPORT FWY
Second Line : SUITE 105
City : BEDFORD
State : TX
Zip : 76021-6117
Country : US
Telephone Number : 817-380-4211
Fax Number :
Provider Business Practice Location Address
First Line : 3901 AIRPORT FWY
Second Line : SUITE 105
City : BEDFORD
State : TX
Zip : 76021-6117
Country : US
Telephone Number : 214-329-4900
Fax Number : 214-615-9069
Authorized Official
Title or Position : PRESIDENT
Name : SOHAIL BADRUDDIN
Credential :
Telephone Number : 214-329-4902
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/10/2007

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