Healthcare Provider Details

I. General information

NPI: 1134398142
Provider Name (Legal Business Name): FRANCES KYPUROS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2008
Last Update Date: 02/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 N VETERANS BLVD
EAGLE PASS TX
78852-3831
US

IV. Provider business mailing address

PO BOX 2428
EAGLE PASS TX
78853-2428
US

V. Phone/Fax

Practice location:
  • Phone: 830-776-2567
  • Fax:
Mailing address:
  • Phone: 830-776-2567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. FRANCES M KYPUROS
Title or Position: OWNER
Credential:
Phone: 830-776-2567