MEDICARE: TETRI HOLDINGS 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578167219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TETRI HOLDINGS INC

Provider Business Mailing Address
First Line	:	5834 CHASTE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-2054
Country	:	US
Telephone Number	:	713-903-6612
Fax Number	:	832-295-0667

Provider Business Practice Location Address
First Line	:	5834 CHASTE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-2054
Country	:	US
Telephone Number	:	713-903-6612
Fax Number	:	832-295-0667

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDERSON OGUNBOR
Credential	:
Telephone Number	:	713-903-6612

Provider Enumeration Date	:	11/23/2020
Last Update Date	:	11/23/2020

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Directions to “TETRI HOLDINGS INC ” Practice Location

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