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NPI Code Detail

MEDICARE: NORTHEAST TEXAS HOME HEALTH AGENCY, LTD

MEDICARE: NORTHEAST TEXAS HOME HEALTH AGENCY, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1023943073
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST TEXAS HOME HEALTH AGENCY, LTD
Provider Business Mailing Address
First Line : 8150 N CENTRAL EXPY STE 1800
Second Line :
City : DALLAS
State : TX
Zip : 75206-1883
Country : US
Telephone Number : 469-839-3777
Fax Number :
Provider Business Practice Location Address
First Line : 8150 N CENTRAL EXPY STE 1875
Second Line :
City : DALLAS
State : TX
Zip : 75206-1879
Country : US
Telephone Number : 972-255-3840
Fax Number : 972-255-3879
Authorized Official
Title or Position : CFO/CAO
Name : CHRIS WALKER
Credential :
Telephone Number : 469-839-3706
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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