Healthcare Provider Details

I. General information

NPI: 1922173533
Provider Name (Legal Business Name): CDEVINE HEALTH CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8449 W BELLFORT ST SUITE 140
HOUSTON TX
77071-2245
US

IV. Provider business mailing address

8449 W BELLFORT ST SUITE 140
HOUSTON TX
77071-2245
US

V. Phone/Fax

Practice location:
  • Phone: 713-270-4221
  • Fax: 713-270-6413
Mailing address:
  • Phone: 713-270-4221
  • Fax: 713-270-6413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008418
License Number StateTX

VIII. Authorized Official

Name: MS. DAWN WILLIAMS
Title or Position: ADMINISTRATOR
Credential: J.D.
Phone: 713-270-4221