MEDICARE: AXCESS HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QM0850X	Adult Mental Health Clinic/Center
4	3104A0625X	Assisted Living Facility (Mental Illness)
5	320800000X	Mental Illness Community Based Residential Treatment Facility
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033695283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXCESS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	8303 SOUTHWEST FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1650
Country	:	US
Telephone Number	:	713-440-9979
Fax Number	:	713-493-7222

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1650
Country	:	US
Telephone Number	:	713-440-9979
Fax Number	:	713-493-7222

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SONNY ISIGUZO
Credential	:
Telephone Number	:	713-440-9979

Provider Enumeration Date	:	07/11/2018
Last Update Date	:	04/17/2024

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Directions to “AXCESS HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

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