Healthcare Provider Details

I. General information

NPI: 1558675553
Provider Name (Legal Business Name): HRAA, L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 W GREEN OAKS BLVD STE 700
ARLINGTON TX
76016-2727
US

IV. Provider business mailing address

1807 ARTESIA CT
MANSFIELD TX
76063-4017
US

V. Phone/Fax

Practice location:
  • Phone: 817-937-3728
  • Fax:
Mailing address:
  • Phone: 817-937-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HOBEY M STRAWN
Title or Position: OWNER / PRESIDENT
Credential:
Phone: 817-937-3728