MEDICARE: PROOFUREVOLVING INC

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	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1972250942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROOFUREVOLVING INC

Provider Business Mailing Address
First Line	:	10940 RACK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-4644
Country	:	US
Telephone Number	:	832-691-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	22507 RED RIVER DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3319
Country	:	US
Telephone Number	:	832-691-9773
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	MRS. RACHAEL PINSON
Credential	:
Telephone Number	:	832-691-9773

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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Directions to “PROOFUREVOLVING INC ” Practice Location

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