Healthcare Provider Details

I. General information

NPI: 1215007265
Provider Name (Legal Business Name): HEALTH CARE DYNAMICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 INTERSTATE 10 N STE A
BEAUMONT TX
77706-4816
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 409-994-0300
  • Fax: 409-994-0400
Mailing address:
  • Phone: 855-485-8273
  • Fax: 409-994-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008449
License Number StateTX

VIII. Authorized Official

Name: KATRINA D LANIER
Title or Position: CHIEF GROWTH OFFICER
Credential: LVN
Phone: 855-485-8273