Healthcare Provider Details

I. General information

NPI: 1841917333
Provider Name (Legal Business Name): JAMES KUYORO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 TENNYSON PKWY
PLANO TX
75024-3583
US

IV. Provider business mailing address

5700 TENNYSON PKWY
PLANO TX
75024-3583
US

V. Phone/Fax

Practice location:
  • Phone: 832-977-2381
  • Fax: 832-575-4878
Mailing address:
  • Phone: 832-977-2381
  • Fax: 832-575-4878

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:
Title or Position:
Credential:
Phone: