Healthcare Provider Details

I. General information

NPI: 1457894172
Provider Name (Legal Business Name): PROFESSIONAL CASE MANAGEMENT OF TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 W INTERSTATE 40
AMARILLO TX
79106-2526
US

IV. Provider business mailing address

500 E 8TH AVE
DENVER CO
80203-3716
US

V. Phone/Fax

Practice location:
  • Phone: 806-576-3492
  • Fax:
Mailing address:
  • Phone: 303-253-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1T3293
License Number StateCO

VIII. Authorized Official

Name: MR. GREG AUSTIN
Title or Position: PRESIDENT
Credential:
Phone: 720-205-0450