MEDICARE: NT HEALTH SERVICES 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
1	3336M0003X	Managed Care Organization Pharmacy

General Provider Information

NPI Number	:	1134804321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NT HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2525 ROBINHOOD ST STE 113
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 ROBINHOOD ST STE 113
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2573
Country	:	US
Telephone Number	:	713-800-6949
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KUNAL NAGARSHETH
Credential	:	PHARMD
Telephone Number	:	710-800-6949

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

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