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NPI Code Detail

MEDICARE: RV HEALTHCARE SERVICES

MEDICARE: RV HEALTHCARE SERVICES
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
1251B00000XCase Management AgencyTX

General Provider Information

NPI Number : 1891023024
Entity Type Code : Organization
Provider Name (Legal Business Name) : RV HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 1880 S DAIRY ASHFORD ST
Second Line : 106
City : HOUSTON
State : TX
Zip : 77077-4760
Country : US
Telephone Number : 832-228-0291
Fax Number : 866-473-0395
Provider Business Practice Location Address
First Line : 1880 S DAIRY ASHFORD ST
Second Line : 106
City : HOUSTON
State : TX
Zip : 77077-4760
Country : US
Telephone Number : 832-228-0291
Fax Number : 866-473-0395
Authorized Official
Title or Position : ADMINISTRATOR
Name : VICTORIA ESSIEN EDUOK
Credential :
Telephone Number : 832-228-0291
Provider Enumeration Date : 11/29/2009
Last Update Date : 11/29/2009

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Directions to “RV HEALTHCARE SERVICES ” Practice Location

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