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Organization

TEXAS PEDIATRIC HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAGE EMIL NICOLO LVN (OWNER)
(734) 837-5481
Entity
Organization

Contact information

Practice address
15116 MESA DR, SUITE 725, HUMBLE, TX 77396-2394
(281) 570-6418
(281) 570-6418
Mailing address
15116 MESA DR, SUITE 725, HUMBLE, TX 77396-2394
(281) 570-6418
(281) 570-6418

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
226086
TX

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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