MEDICARE: SHAWN COUSINS/MEDI HELP

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	293D00000X	Physiological Laboratory	NOT APPLICABLE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	H0000425DC	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1629163845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAWN COUSINS/MEDI HELP

Provider Business Mailing Address
First Line	:	6140 HIGHWAY 6 STE 83
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3802
Country	:	US
Telephone Number	:	281-778-0997
Fax Number	:

Provider Business Practice Location Address
First Line	:	6140 HIGHWAY 6 STE 83
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3802
Country	:	US
Telephone Number	:	281-778-0997
Fax Number	:	281-778-7406

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SHAWN COUSINS
Credential	:	RVT
Telephone Number	:	281-778-0997

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/06/2015

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Directions to “SHAWN COUSINS/MEDI HELP ” Practice Location

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