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NPI 1306566526

NPI 1306566526 : Z & G TICO HEALTH, INC. : ALVIN, TX

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General NPI Number Information
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    NPI Number           |    1306566526
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    Entity Type          |    Organization 
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    Legal Business Name  |    Z & G TICO HEALTH, INC. 
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Dates
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    Enumeration Date     |    08/29/2022
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    Last Update Date     |    01/24/2025
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Provider Practice Location Address
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    Address Line         |    211 W SEALY ST STE 1 
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    City                 |    ALVIN
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    State                |    TX
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    Zip                  |    77511-2364
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    Country              |    US
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    Telephone            |    281-824-4538
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    211 W SEALY ST STE 1 
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    City                 |    ALVIN
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    State                |    TX
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    Zip                  |    77511-2364
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    Country              |    US
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    Telephone            |    818-244-5382
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GEORGIA  GREEN 
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    Credential           |    
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    Telephone            |    832-687-5278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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