MEDICARE: ACCURATE DIRECT SERVICES

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	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1578236428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE DIRECT SERVICES

Provider Business Mailing Address
First Line	:	12719 BLUE TIMBERS CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-1903
Country	:	US
Telephone Number	:	832-673-8656
Fax Number	:

Provider Business Practice Location Address
First Line	:	9410 MESA DR
Second Line	:	BULDING B
City	:	HOUSTON
State	:	TX
Zip	:	77044
Country	:	US
Telephone Number	:	832-673-8656
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KARHONDA NICH'E LACY
Credential	:
Telephone Number	:	832-673-8656

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	07/27/2021

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