Provider Demographics
NPI:1033893276
Name:RESTORATIVE HEALTHCARE OF TEXAS LLC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTHCARE OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-526-8443
Mailing Address - Street 1:2611 GRANTS LAKE BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1329
Mailing Address - Country:US
Mailing Address - Phone:832-526-8443
Mailing Address - Fax:
Practice Address - Street 1:13026 LEADER ST UNIT 951
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2188
Practice Address - Country:US
Practice Address - Phone:832-526-8443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health