Compassionate Providers of Texas

NPI #1790025237 in La Grange, Texas

Provider Information

NPI Number
1790025237
Entity Type
Organization
Organization Name
Compassionate Providers of Texas
Primary Specialty
In Home Supportive Care
Enumeration Date
Feb 20, 2013
Last Updated
Feb 20, 2013

Practice Location

Address
1495 W STATE HIGHWAY 71
Address 2
SUITE G, OFFICE 1
State
Texas
ZIP Code
78945-5137
Phone
(979) 968-1500

Authorized Official

Name
MRS. SAMANTHA SMITH STACKHOUSE, LVN
Title
OWNER/ADMINISTRATOR
Phone
(979) 968-1500

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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