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NPI Code Detail

MEDICARE: COURTNEY ROCHELL BAILEY

MEDICARE: COURTNEY ROCHELL BAILEY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1770282170
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY ROCHELL BAILEY
Provider Business Mailing Address
First Line : 17619 WOODLODE LN
Second Line :
City : SPRING
State : TX
Zip : 77379-7818
Country : US
Telephone Number : 281-500-0134
Fax Number :
Provider Business Practice Location Address
First Line : 3431 RAYFORD RD STE 200-155
Second Line :
City : SPRING
State : TX
Zip : 77386-3649
Country : US
Telephone Number : 940-268-4502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/24/2023

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Directions to “ COURTNEY ROCHELL BAILEY ” Practice Location

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