MEDICARE: HEALTH PRO RESOURCE LLC

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1831304534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PRO RESOURCE LLC

Provider Business Mailing Address
First Line	:	3730 KIRBY
Second Line	:	SUITE 1200
City	:	HOUSTON
State	:	TX
Zip	:	77098
Country	:	US
Telephone Number	:	713-795-5117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2260 W HOLCOMBE BLVD
Second Line	:	SUITE 304
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:	713-795-5117
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MISS JODI LEONORE LATSON
Credential	:
Telephone Number	:	713-795-5117

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/07/2009

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Directions to “HEALTH PRO RESOURCE LLC ” Practice Location

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