MEDICARE: LONG TERM HEALTHCARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	207P00000X	Emergency Medicine Physician
3	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
4	207Q00000X	Family Medicine Physician
5	207W00000X	Ophthalmology Physician
6	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
7	208M00000X	Hospitalist Physician
8	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1588933246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG TERM HEALTHCARE, PLLC

Provider Business Mailing Address
First Line	:	3505 SAGE RD UNIT 1106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-7088
Country	:	US
Telephone Number	:	832-752-7279
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 SAGE RD UNIT 1106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-7088
Country	:	US
Telephone Number	:	832-752-7279
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VANITHA V REDDY
Credential	:	M.D.
Telephone Number	:	832-752-7279

Provider Enumeration Date	:	12/23/2011
Last Update Date	:	12/23/2011

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Directions to “LONG TERM HEALTHCARE, PLLC ” Practice Location

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