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NPI Code Detail

MEDICARE: TRANS-AMERICAN HEALTHCARE, INC.

MEDICARE: TRANS-AMERICAN 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 Agency008472TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1008472OTHERTXHCSSA LICENSE

General Provider Information

NPI Number : 1447204094
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANS-AMERICAN HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 9894 BISSONNET ST
Second Line : SUITE 388
City : HOUSTON
State : TX
Zip : 77036-8239
Country : US
Telephone Number : 713-778-9339
Fax Number : 713-778-9340
Provider Business Practice Location Address
First Line : 9894 BISSONNET ST
Second Line : SUITE 388
City : HOUSTON
State : TX
Zip : 77036-8239
Country : US
Telephone Number : 713-778-9339
Fax Number : 713-778-9340
Authorized Official
Title or Position : ADMINISTRATOR
Name : KATE C. MBIDOAKA
Credential : RN
Telephone Number : 713-778-9339
Provider Enumeration Date : 05/19/2006
Last Update Date : 10/18/2007

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Directions to “TRANS-AMERICAN HEALTHCARE, INC. ” Practice Location

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