MEDICARE: HOUR FAMILY TX 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	251E00000X	Home Health Agency	014491	TX
2	251J00000X	Nursing Care Agency	014491	TX
3	251S00000X	Community/Behavioral Health Agency
4	101Y00000X	Counselor
5	101YP2500X	Professional Counselor
6	103TB0200X	Cognitive & Behavioral Psychologist
7	253Z00000X	In Home Supportive Care Agency	014491	TX
8	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1831479344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUR FAMILY TX LLC

Provider Business Mailing Address
First Line	:	10455 N CENTRAL EXPY
Second Line	:	SUITE 109457
City	:	DALLAS
State	:	TX
Zip	:	75231-2213
Country	:	US
Telephone Number	:	972-591-3241
Fax Number	:

Provider Business Practice Location Address
First Line	:	9696 SKILLMAN ST
Second Line	:	220
City	:	DALLAS
State	:	TX
Zip	:	75243-8264
Country	:	US
Telephone Number	:	972-591-3241
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TY WHITE
Credential	:
Telephone Number	:	972-591-3241

Provider Enumeration Date	:	08/29/2011
Last Update Date	:	03/23/2018

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Directions to “HOUR FAMILY TX LLC ” Practice Location

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