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NPI Code Detail

MEDICARE: TESS II OPCO LLC

MEDICARE: TESS II OPCO 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1306616339
Entity Type Code : Organization
Provider Name (Legal Business Name) : TESS II OPCO LLC
Provider Business Mailing Address
First Line : 545 E JOHN CARPENTER FWY STE 400
Second Line :
City : IRVING
State : TX
Zip : 75062-8131
Country : US
Telephone Number : 214-499-6049
Fax Number :
Provider Business Practice Location Address
First Line : 545 E JOHN CARPENTER FWY STE 400
Second Line :
City : IRVING
State : TX
Zip : 75062-8131
Country : US
Telephone Number : 214-499-6049
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MELISSA JOHNSEN
Credential :
Telephone Number : 214-499-6049
Provider Enumeration Date : 01/02/2024
Last Update Date : 01/02/2024

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Directions to “TESS II OPCO LLC ” Practice Location

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