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NPI Code Detail

MEDICARE: PATHFINDER PEDIATRIC HOME CARE, LLC

MEDICARE: PATHFINDER PEDIATRIC HOME CARE, LLC
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 Agency012397TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134371651
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHFINDER PEDIATRIC HOME CARE, LLC
Provider Business Mailing Address
First Line : 25018 OAKHURST DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2722
Country : US
Telephone Number : 281-364-9695
Fax Number :
Provider Business Practice Location Address
First Line : 25018 OAKHURST DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2722
Country : US
Telephone Number : 281-705-4756
Fax Number : 281-652-5570
Authorized Official
Title or Position : VP OF OPERATIONS
Name : JUSTIN VALDATA
Credential :
Telephone Number : 940-636-7733
Provider Enumeration Date : 10/15/2008
Last Update Date : 08/05/2025

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Directions to “PATHFINDER PEDIATRIC HOME CARE, LLC ” Practice Location

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