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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
2410 JACK ST, WICHITA FALLS, TX 76308-1006
(940) 696-9239
(940) 696-9678
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3900

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008793
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164891701
TX
Enumeration date
11/18/2005
Last updated
07/20/2023
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Product
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  • EDI platform