MEDICARE: RSDS TEXAS INC

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	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	193400000X	OTHER		PAS COMPANY

General Provider Information

NPI Number	:	1801551411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSDS TEXAS INC

Provider Business Mailing Address
First Line	:	17740 PRESTON RD STE 200D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17740 PRESTON RD STE 200D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5840
Country	:	US
Telephone Number	:	214-272-8839
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DELIA SIPPEL
Credential	:
Telephone Number	:	214-774-4899

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	01/24/2022

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Directions to “RSDS TEXAS INC ” Practice Location

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