MEDICARE: PERFECT CHOICE HEALTH MANAGEMENT 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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1184408890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECT CHOICE HEALTH MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	12345 JONES RD STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4966
Country	:	US
Telephone Number	:	832-925-8122
Fax Number	:	832-925-8162

Provider Business Practice Location Address
First Line	:	12345 JONES RD STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4966
Country	:	US
Telephone Number	:	832-925-8122
Fax Number	:	832-925-8162

Authorized Official
Title or Position	:	MANAGER
Name	:	BARBARA KANADY
Credential	:
Telephone Number	:	832-925-8122

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/23/2023

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