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NPI Code Detail

MEDICARE: THH HOUSTON HOLDINGS, LLC

MEDICARE: THH HOUSTON HOLDINGS, 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
1251E00000XHome Health Agency002881TX

General Provider Information

NPI Number : 1902171754
Entity Type Code : Organization
Provider Name (Legal Business Name) : THH HOUSTON HOLDINGS, LLC
Provider Business Mailing Address
First Line : 10010 SAN PEDRO AVE
Second Line : SUITE 120
City : SAN ANTONIO
State : TX
Zip : 78216-3862
Country : US
Telephone Number : 713-871-1131
Fax Number : 713-871-1194
Provider Business Practice Location Address
First Line : 3505 S DAIRY ASHFORD ST
Second Line : SUITE 248
City : HOUSTON
State : TX
Zip : 77082-5513
Country : US
Telephone Number : 281-531-4461
Fax Number : 281-531-1793
Authorized Official
Title or Position : MANAGING PARTNER
Name : MR. AMIR MORTAZAVI
Credential :
Telephone Number : 713-871-1131
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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Directions to “THH HOUSTON HOLDINGS, LLC ” Practice Location

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