Provider Services Of Texas
Nurse's Aide in Spring, TX. Organization (NPI-2).
NPI number1134424757
StatusActive
Last updated in NPPESMar 17, 2014
Details
- NPI
- 1134424757
- Entity type
- Organization (NPI-2)
- Legal business name
- Provider Services Of Texas
- Organization subpart
- No
- Enumeration date
- Jan 12, 2011
- Last updated
- Mar 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Other names
- Susita Chitman -Allen (Other Name)
Practice location
22119 Bridgestone Hawk CtSpring, TX 77388-4663
Phone 281-433-9298
Mailing address
22119 Bridgestone Hawk CtSpring, TX 77388-4663
Phone 281-433-9298
Authorized official
Susita Chitman-Allen
Ceo
2814339298
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