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General NPI Number Information
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NPI Number | 1972973576
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Entity Type | Organization
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Legal Business Name | MEDTEX HEALTHCARE, LLC.
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 2517 W TRENTON RD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-475-3531
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Fax | 956-475-3541
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Provider Business Mailing Address
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Address Line | 2517 W TRENTON RD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-475-3531
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Fax | 956-475-3541
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | RICHARD TROY NELSON
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Credential |
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Telephone | 956-475-3531
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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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