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NPI Code Detail

MEDICARE: OPEN ARMS OF TEXAS, LLC

MEDICARE: OPEN ARMS OF TEXAS, 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1194309039
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN ARMS OF TEXAS, LLC
Provider Business Mailing Address
First Line : 2318 NARUNA LN
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-7381
Country : US
Telephone Number : 281-763-3175
Fax Number :
Provider Business Practice Location Address
First Line : 2318 NARUNA LN
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-7381
Country : US
Telephone Number : 281-763-3175
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ABIGAIL KATELYN CORK
Credential :
Telephone Number : 281-763-3175
Provider Enumeration Date : 05/06/2021
Last Update Date : 05/18/2021

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Directions to “OPEN ARMS OF TEXAS, LLC ” Practice Location

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