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NPI Code Detail

MEDICARE: PACESETTERS HEALTHCARE INC

MEDICARE: PACESETTERS HEALTHCARE INC
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1801162432OTHERTXTEXAS COMPTROLLER

General Provider Information

NPI Number : 1366775827
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACESETTERS HEALTHCARE INC
Provider Business Mailing Address
First Line : 7515 BLUEGAP
Second Line :
City : MISSOURI
State : TX
Zip : 77459-8271
Country : US
Telephone Number : 281-778-5505
Fax Number : 281-778-5506
Provider Business Practice Location Address
First Line : 7515 BLUE GAP
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6891
Country : US
Telephone Number : 281-778-5505
Fax Number : 281-778-5506
Authorized Official
Title or Position : CEO/ADMINISTRATOR
Name : MR. CHARLES ESEK
Credential :
Telephone Number : 281-778-5505
Provider Enumeration Date : 09/15/2009
Last Update Date : 11/01/2012

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Directions to “PACESETTERS HEALTHCARE INC ” Practice Location

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