MEDICARE: POSITIVE HEALTH MANAGMENT

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		TX

General Provider Information

NPI Number	:	1619015161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE HEALTH MANAGMENT

Provider Business Mailing Address
First Line	:	14637 PEBBLE BEND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2922
Country	:	US
Telephone Number	:	832-484-8400
Fax Number	:	832-484-1675

Provider Business Practice Location Address
First Line	:	3100 N LEE TREVINO DR
Second Line	:	SUITE B
City	:	EL PASO
State	:	TX
Zip	:	79936-2098
Country	:	US
Telephone Number	:	915-843-4776
Fax Number	:	915-843-4004

Authorized Official
Title or Position	:	CEO
Name	:	RON ZIEGLER
Credential	:
Telephone Number	:	915-843-4776

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	08/22/2020

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Directions to “POSITIVE HEALTH MANAGMENT ” Practice Location

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