CCN: 679585 NPI: 1316001191 Organization

EDICARE PROFESSIONAL HEALTHCARE SERVICES INC

2000 S DAIRY ASHFORD ST , SUITE #305
HOUSTON, TX 770775700

Contact Information

Phone 2815684573
Fax 2818798411
Enumeration Date 2006-12-19
Last Updated 2012-02-01

Taxonomies

Code: 251E00000X (Primary) License State: TX License: 010365

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26420

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 18