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Organization
LEO CAPRI INC
Active
Organization
LEO CAPRI INC
Active
Other names
republic home health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PUSHPAM SWAMY MYDUR RNC,ANP (ADM/D.O.N)
(817) 689-1289
Entity
Organization
Contact information
Practice address
835 SW ALSBURY BLVD, SUITE ,J,, BURLESON, TX 76028-4093
(817) 920-0800
(817) 920-0801
Mailing address
835 SW ALSBURY BLVD, SUITE ,J,, BURLESON, TX 76028-4093
(817) 920-0800
(817) 920-0801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011966
TX
Other
Enumeration date
05/30/2008
Last updated
01/07/2011
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