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NPI Code Detail

MEDICARE: C&I HOLDINGS, LLC

MEDICARE: C&I HOLDINGS, LLC
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
1283Q00000XPsychiatric HospitalTX

General Provider Information

NPI Number : 1720364540
Entity Type Code : Organization
Provider Name (Legal Business Name) : C&I HOLDINGS, LLC
Provider Business Mailing Address
First Line : 1320 QUITMAN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-7936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1975 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4511
Country : US
Telephone Number : 281-914-1012
Fax Number :
Authorized Official
Title or Position : MANAGER, MEMBER, ADMINISTRATOR
Name : MR. NATHAN INGRAM
Credential :
Telephone Number : 281-914-1012
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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