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Organization
MASTER PEDIATRIC HOME CARE,P.C.
Active
Organization
MASTER PEDIATRIC HOME CARE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE NATHANIEL JACKSON IV M.ED., CCC-SLP (ADMINISTRATOR)
(832) 656-7775
Entity
Organization
Contact information
Practice address
10333 HARWIN DR, HOUSTON, TX 77036-1545
(713) 640-5809
Mailing address
10333 HARWIN DR, STE 200, HOUSTON, TX 77036-1545
(713) 640-5809
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
015378
TX
3747P1801X
Personal Care Attendant
015378
TX
Other
Enumeration date
12/04/2012
Last updated
10/12/2015
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