Healthcare Provider Details

I. General information

NPI: 1205412293
Provider Name (Legal Business Name): POWER MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 REDWATER RD
WAKE VILLAGE TX
75501
US

IV. Provider business mailing address

609 REDWATER RD
WAKE VILLAGE TX
75501
US

V. Phone/Fax

Practice location:
  • Phone: 903-501-8032
  • Fax:
Mailing address:
  • Phone: 903-501-8032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TASHA BROCKS
Title or Position: OWNER
Credential:
Phone: 903-501-8032