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NPI Code Detail

MEDICARE: CEBA HEALTHCARE INC.

MEDICARE: CEBA HEALTHCARE 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
1251E00000XHome Health AgencyTX
2251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1801549689OTHERSECRETARY OF STATE

General Provider Information

NPI Number : 1992064653
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEBA HEALTHCARE INC.
Provider Business Mailing Address
First Line : 6206 SANFORD RD
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5729
Country : US
Telephone Number : 713-269-1885
Fax Number : 713-772-0701
Provider Business Practice Location Address
First Line : 6206 SANFORD RD
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5729
Country : US
Telephone Number : 713-269-1885
Fax Number : 713-772-0701
Authorized Official
Title or Position : ADMINISTRATOR
Name : VERONICA OBOMESE
Credential :
Telephone Number : 713-269-1885
Provider Enumeration Date : 05/15/2012
Last Update Date : 09/07/2012

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Directions to “CEBA HEALTHCARE INC. ” Practice Location

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