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NPI Code Detail

MEDICARE: THE SERVICE TEAM INC.

MEDICARE: THE SERVICE TEAM INC.
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
1251E00000XHome Health AgencyTX
23747P1801XPersonal Care AttendantTX

General Provider Information

NPI Number : 1639605207
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SERVICE TEAM INC.
Provider Business Mailing Address
First Line : 5850 SAN FELIPE ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77057-8003
Country : US
Telephone Number : 713-400-7673
Fax Number : 713-400-7801
Provider Business Practice Location Address
First Line : 5850 SAN FELIPE ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77057-8003
Country : US
Telephone Number : 713-400-7673
Fax Number : 713-400-7801
Authorized Official
Title or Position : ADMINISTRATOR
Name : TIERRA WILSON
Credential :
Telephone Number : 254-339-5505
Provider Enumeration Date : 05/02/2017
Last Update Date : 05/03/2017

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Directions to “THE SERVICE TEAM INC. ” Practice Location

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