Healthcare Provider Details

I. General information

NPI: 1114857604
Provider Name (Legal Business Name): ALTEZA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 DOUBLE CREEK DR STE 604
ROUND ROCK TX
78664-3833
US

IV. Provider business mailing address

14305 TANDEM BLVD BSMT 66
AUSTIN TX
78728-6563
US

V. Phone/Fax

Practice location:
  • Phone: 512-954-4266
  • Fax: 385-396-2392
Mailing address:
  • Phone: 956-575-7681
  • Fax: 385-396-2392

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MARILYN DONIS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 956-575-7681