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Organization
TRIAD PEDIATRIC HOME HEALTH, LLC
Active
Organization
TRIAD PEDIATRIC HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZEQUIEL VALDEZ (CEO)
(214) 422-6904
Entity
Organization
Contact information
Practice address
6111 SHOAL CREEK TRL, GARLAND, TX 75044-3843
(214) 422-6904
Mailing address
6111 SHOAL CREEK TRL, GARLAND, TX 75044-3843
(214) 422-6904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
802112451
TX
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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