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Organization

FC OF TEXAS INC

Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M KUNYSZ JR. (CEO)
(214) 445-3750
Entity
Organization

Contact information

Practice address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
(214) 688-0330
(214) 630-6061
Mailing address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
(214) 445-3750
(214) 445-3900

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008790
TX
251J00000X
Nursing Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164891703
TX
Enumeration date
11/22/2005
Last updated
08/07/2019
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