MEDICARE: FMSA HEALTHCARE SERVICES OF TEXAS 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
1	253Z00000X	In Home Supportive Care Agency		TX

General Provider Information

NPI Number	:	1508280702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FMSA HEALTHCARE SERVICES OF TEXAS INC

Provider Business Mailing Address
First Line	:	2516 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	214-351-3360
Fax Number	:	214-988-1488

Provider Business Practice Location Address
First Line	:	2516 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	214-351-3360
Fax Number	:	214-988-1488

Authorized Official
Title or Position	:	FINANCIAL MANAGER
Name	:	MRS. BUKI OBASANYA
Credential	:
Telephone Number	:	214-351-3360

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	11/26/2014

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