MEDICARE: RN FIRST ASSIST OF HOUSTON

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	282N00000X	General Acute Care Hospital
2	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1578949897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RN FIRST ASSIST OF HOUSTON

Provider Business Mailing Address
First Line	:	18327 SPRUCE CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2373
Country	:	US
Telephone Number	:	281-389-8657
Fax Number	:

Provider Business Practice Location Address
First Line	:	18327 SPRUCE CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2373
Country	:	US
Telephone Number	:	281-389-8657
Fax Number	:

Authorized Official
Title or Position	:	RNFA
Name	:	MRS. LOIDA A PAULTANIS
Credential	:
Telephone Number	:	281-389-8657

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	11/10/2016

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Directions to “RN FIRST ASSIST OF HOUSTON ” Practice Location

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