MEDICARE: VILLA AND SERNA INC.

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
1	251E00000X	Home Health Agency	009500	TX

General Provider Information

NPI Number	:	1083653059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLA AND SERNA INC.

Provider Business Mailing Address
First Line	:	1112 WITTER ST
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-4718
Country	:	US
Telephone Number	:	713-475-2300
Fax Number	:	713-475-0811

Provider Business Practice Location Address
First Line	:	1112 WITTER ST,
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-1115
Country	:	US
Telephone Number	:	713-475-2300
Fax Number	:	713-475-0811

Authorized Official
Title or Position	:	OWNER
Name	:	ATILANO SERNA
Credential	:
Telephone Number	:	713-475-2300

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/06/2007

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