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NPI Code Detail

MEDICARE: TJ DARILEK II INC

MEDICARE: TJ DARILEK II 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1821320854
Entity Type Code : Organization
Provider Name (Legal Business Name) : TJ DARILEK II INC
Provider Business Mailing Address
First Line : 2251 DOUBLE CREEK DR
Second Line : BUILDING 5 - SUITE 503
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-531-9453
Fax Number : 512-853-9387
Provider Business Practice Location Address
First Line : 2251 DOUBLE CREEK DRIVE
Second Line : BUILDING 5 - SUITE 503
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-531-9453
Fax Number : 512-853-9387
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : TERRY J. DARILEK II
Credential :
Telephone Number : 512-531-9453
Provider Enumeration Date : 02/01/2010
Last Update Date : 03/02/2016

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