Healthcare Provider Details

I. General information

NPI: 1265549521
Provider Name (Legal Business Name): TNT MEDICAL - A HOME HEALTHCARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 CORNERSTONE LN
DESOTO TX
75115-6010
US

IV. Provider business mailing address

PO BOX 1420
DESOTO TX
75123-1420
US

V. Phone/Fax

Practice location:
  • Phone: 972-223-8688
  • Fax:
Mailing address:
  • Phone: 972-223-8688
  • Fax: 888-868-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LYTRIANA KEEL HILL
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-223-8688