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General NPI Number Information
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NPI Number | 1649678962
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Entity Type | Organization
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Legal Business Name | FAMILIA HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST # 401-C
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 361-723-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST # 450-E
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 361-723-0210
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANDRES ELIZONDO
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Credential |
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Telephone | 361-723-0210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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