MEDICARE: ELVIDA BOCARD

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

General Provider Information

NPI Number	:	1871644252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELVIDA BOCARD

Provider Business Mailing Address
First Line	:	12710 FAWNWAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-4150
Country	:	US
Telephone Number	:	713-991-7474
Fax Number	:

Provider Business Practice Location Address
First Line	:	12710 FAWNWAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-4150
Country	:	US
Telephone Number	:	713-991-7474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	07/08/2007

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Directions to “ ELVIDA BOCARD ” Practice Location

Language	Start Address	Practice Location

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