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General NPI Number Information
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NPI Number | 1497231724
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Entity Type | Organization
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Legal Business Name | AXON HOME HEALTH SERVICES CORP
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 1526 KATY GAP RD STE 902
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City | KATY
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State | TX
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Zip | 77494-6548
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Country | US
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Telephone | 832-288-3001
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Fax | 832-288-3004
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Provider Business Mailing Address
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Address Line | 1526 KATY GAP RD STE 902
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City | KATY
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State | TX
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Zip | 77494-6548
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Country | US
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Telephone | 832-288-3001
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Fax | 832-288-3004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LAUREANO E BALSEIRO
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Credential | AGNP-C
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Telephone | 832-866-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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