Healthcare Provider Details

I. General information

NPI: 1508475377
Provider Name (Legal Business Name): TOTS IN TOW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16607 BLANCO RD STE 12202
SAN ANTONIO TX
78232-1963
US

IV. Provider business mailing address

9011 MOUNTAIN RIDGE DR STE 130
AUSTIN TX
78759-7394
US

V. Phone/Fax

Practice location:
  • Phone: 512-777-4092
  • Fax: 866-311-9885
Mailing address:
  • Phone: 512-777-4092
  • Fax: 866-311-9885

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: TANYA M HOWELL
Title or Position: ALT. ADMIN/DOCS
Credential: RN
Phone: 512-660-0207