MEDICARE: TADSTEL & ASSOCIATES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1740591403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TADSTEL & ASSOCIATES

Provider Business Mailing Address
First Line	:	2349 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	469-499-4472
Fax Number	:	469-375-3968

Provider Business Practice Location Address
First Line	:	2349 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	469-499-4472
Fax Number	:	469-375-3968

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. STELLA OLALEYE
Credential	:
Telephone Number	:	469-499-4472

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	06/28/2010

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