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General NPI Number Information
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NPI Number | 1679690937
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Entity Type | Organization
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Legal Business Name | BRAZOS PRESBYTERIAN HOMES INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 4141 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77025-3307
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Country | US
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Telephone | 713-666-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 4141 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77025-3307
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Country | US
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Telephone | 713-666-2651
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHERYL CALLAHAN
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Credential |
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Telephone | 713-660-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 117710
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License Number State | TX
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