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NPI Code Detail

MEDICARE: NEYTIRI'S WINGS OF ANGELS PCA,LLC

MEDICARE: NEYTIRI'S WINGS OF ANGELS PCA,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 : 1376069013
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEYTIRI'S WINGS OF ANGELS PCA,LLC
Provider Business Mailing Address
First Line : 17000 EL CAMINO REAL STE 307B
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2661
Country : US
Telephone Number : 281-984-7571
Fax Number :
Provider Business Practice Location Address
First Line : 17000 EL CAMINO REAL STE 307B
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2661
Country : US
Telephone Number : 281-984-7571
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATASHA BRIGHT
Credential : CNA
Telephone Number : 832-461-6640
Provider Enumeration Date : 08/15/2017
Last Update Date : 08/15/2017

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Directions to “NEYTIRI'S WINGS OF ANGELS PCA,LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.