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NPI 1477279388

NPI 1477279388 : ALTIMATE CARE AND SERVICES LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1477279388
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTIMATE CARE AND SERVICES LLC 
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Dates
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    Enumeration Date     |    10/13/2022
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    3960 FM 1960 RD W # B 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77068-3521
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    Country              |    US
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    Telephone            |    832-446-6217
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    Fax                  |    832-442-5271
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Provider Business Mailing Address
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    Address Line         |    3960 FM 1960 RD W # B 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77068-3521
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    Country              |    US
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    Telephone            |    832-515-9233
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. UNDRIA CAPRI CRISS-AYELAGBE 
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    Credential           |    DNP, APRN, FNP-C
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    Telephone            |    832-515-9233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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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        |    261QI0500X
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    Taxonomy Name        |    Infusion Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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