MEDICARE: CHAMELEON SERVICES TOO

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1649473844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMELEON SERVICES TOO

Provider Business Mailing Address
First Line	:	7035 W TIDWELL RD STE J-111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2054
Country	:	US
Telephone Number	:	713-996-7004
Fax Number	:	713-996-7010

Provider Business Practice Location Address
First Line	:	7035 W TIDWELL RD STE J-111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2054
Country	:	US
Telephone Number	:	713-996-7004
Fax Number	:	713-996-7010

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NANCY ANN HILTON
Credential	:
Telephone Number	:	713-996-7004

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	08/22/2020

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