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NPI Code Detail

MEDICARE: ANGELS OVER TEXAS

MEDICARE: ANGELS OVER TEXAS
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
2385H00000XRespite Care
3251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265811244OTHERNPI

General Provider Information

NPI Number : 1134740426
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS OVER TEXAS
Provider Business Mailing Address
First Line : 7749 PARKWOOD PLAZA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4383
Country : US
Telephone Number : 817-993-6333
Fax Number :
Provider Business Practice Location Address
First Line : 7749 PARKWOOD PLAZA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4383
Country : US
Telephone Number : 817-993-6333
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : WENDY TOOMBS
Credential :
Telephone Number : 817-993-6333
Provider Enumeration Date : 04/28/2020
Last Update Date : 05/01/2020

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Directions to “ANGELS OVER TEXAS ” Practice Location

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