MEDICARE: VIVIAN EKORTARH

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	163W00000X	Registered Nurse	719473	TX

General Provider Information

NPI Number	:	1437792181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN EKORTARH

Provider Business Mailing Address
First Line	:	1155 DAIRY ASHFORD RD STE 560
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-3035
Country	:	US
Telephone Number	:	713-799-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 FLOWING PALM LN
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-2147
Country	:	US
Telephone Number	:	713-469-8689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	10/25/2019

Similar Medicare Providers

1144105099 — ABIES RACHAEL EGHAREVBA
Practice Location Address:

1707 ACORN GLEN TRL
FRESNO, TX
77545-2144

Practice Phone: 832-805-6419
Practice Fax:

1598766438 — VKIEM HOME HEALTH SERVICES
Practice Location Address:

4507 TWIN ELM DR
FRESNO, TX
77545-9535

Practice Phone: 281-530-7470
Practice Fax: 972-200-5042

1164417804 — VICAD HUMAN SERVICES
Practice Location Address:

1710 MISTY FAWN LN
FRESNO, TX
77545-9503

Practice Phone: 281-431-5576
Practice Fax:

1295740355 — WALGREEN CO
Practice Location Address:

12225 HIGHWAY 6
FRESNO, TX
77545-8805

Practice Phone: 281-431-4248
Practice Fax: 281-431-4056

1073524005 — MR. CHARLES HARRIS SR. LCSW
Practice Location Address:

1230 MAGNOLIA DALE DR
FRESNO, TX
77545-9680

Practice Phone: 832-474-0812
Practice Fax: 281-888-3675

1891800496 — FORT BEND COUNTY ADULT DAY CARE, LLC
Practice Location Address:

4402 MISTLETOE LN
FRESNO, TX
77545-7878

Practice Phone: 713-502-0253
Practice Fax:

Directions to “ VIVIAN EKORTARH ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.