Organization
GERALD JACKSON GALLOUPE
Active
Other names
Homebound Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JACKSON GALLOUPE (OWNER/ADMINISTRATOR)
(903) 838-4941
Entity
Organization
Contact information
Practice address
1705 NORTH BISHOP, TEXARKANA, TX 75501-2800
(903) 838-4941
(903) 838-5128
Mailing address
1705 NORTH BISHOP, TEXARKANA, TX 75501-2800
(903) 838-4941
(903) 838-5128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002258
STATE LICENSE
TX
01
—
HH9968
BC/BS OF TEXAS
TX
Enumeration date
10/31/2006
Last updated
12/02/2011
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