| Avatar Home Health Care Agency, Llc | |
|
25325 Borough Park Dr Ste 100 Spring TX 77380-3564 | |
| (281) 465-8220 | |
| (281) 298-7502 |
| Full Name | Avatar Home Health Care Agency, Llc |
|---|---|
| Speciality | General Practice |
| Location | 25325 Borough Park Dr Ste 100, Spring, Texas |
| Authorized Official Name and Position | Felix N. Canabal (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2814658220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avatar Home Health Care Agency, Llc 25325 Borough Park Dr Ste 100 The Woodlands TX 77380-3564 Ph: (281) 465-8220 | Avatar Home Health Care Agency, Llc 25325 Borough Park Dr Ste 100 Spring TX 77380-3564 Ph: (281) 465-8220 |
| NPI Number | 1528314820 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 4082626858 |
|---|---|
| Medicare Enrollment ID | O20231107002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528314820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Francisco J Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174545461 PECOS PAC ID: 3476555319 Enrollment ID: I20070206000712 |
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