MEDICARE: FACE TO FACE HEALTHCARE SERVICES

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0064359	TX
2	332BX2000X	Oxygen Equipment & Supplies (DME)	0064359	TX
3	251E00000X	Home Health Agency	010260	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1295712008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FACE TO FACE HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	2616 SOUTH LOOP W
Second Line	:	SUITE 230
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-432-7700
Fax Number	:	713-432-7703

Provider Business Practice Location Address
First Line	:	2616 SOUTH LOOP W
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-432-7700
Fax Number	:	713-432-7703

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. CHUKWUJI OKAA UDENKWO
Credential	:	R.N.
Telephone Number	:	713-432-7700

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/16/2009

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Directions to “FACE TO FACE HEALTHCARE SERVICES ” Practice Location

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