Organization
FACO HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANDLY NGWA ASANGA PHAM.D (OWNER/CEO)
(617) 291-8477
Entity
Organization
Contact information
Practice address
3610 W PIONEER PKWY STE 105, PANTEGO, TX 76013-4502
(817) 422-9008
(817) 422-9006
Mailing address
3610 W PIONEER PKWY STE 105, PANTEGO, TX 76013-4502
(817) 422-9008
(817) 422-9006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
04/16/2025
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