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NPI Code Detail

MEDICARE: ANA CARRILLO

MEDICARE: ANA CARRILLO
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1750021929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA CARRILLO
Provider Business Mailing Address
First Line : 100 GOSSETT ST
Second Line :
City : HIGHLANDS
State : TX
Zip : 77562-2808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5627 LAUREL CREEK WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77017-6838
Country : US
Telephone Number : 832-470-9556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/29/2022

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Directions to “ ANA CARRILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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