MEDICARE: NATE DAY HAB & SERVICES 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1992441893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATE DAY HAB & SERVICES LLC

Provider Business Mailing Address
First Line	:	505 N SAM HOUSTON PKWY E STE 690
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-4094
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 N SAM HOUSTON PKWY E STE 690
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-4094
Country	:	US
Telephone Number	:	979-997-3900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGIE BUIE
Credential	:
Telephone Number	:	281-513-9371

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/12/2022

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Directions to “NATE DAY HAB & SERVICES LLC ” Practice Location

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