Organization
TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ORTIZ (OWNER)
(903) 592-3300
Entity
Organization
Contact information
Practice address
1600 ARKANSAS BLVD, STE 110, TEXARKANA, AR 71854-1664
(870) 216-2830
(870) 216-2831
Mailing address
401 E FRONT ST, SUITE 224, TYLER, TX 75702-8213
(903) 592-3300
(903) 592-3301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165742101
—
TX
05
—
165742102
—
TX
Enumeration date
02/02/2010
Last updated
02/02/2010
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