Provider Demographics
NPI:1164470894
Name:PHYSICIAN'S LINK HOME CARE PLLC
Entity Type:Organization
Organization Name:PHYSICIAN'S LINK HOME CARE PLLC
Other - Org Name:PHYSICIAN'S LINK HOME CARE PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOLICA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-385-7744
Mailing Address - Street 1:PO BOX 2025
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-2025
Mailing Address - Country:US
Mailing Address - Phone:409-385-7744
Mailing Address - Fax:409-385-7723
Practice Address - Street 1:1350 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-6114
Practice Address - Country:US
Practice Address - Phone:409-385-7744
Practice Address - Fax:409-385-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009428251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177233701Medicaid
TX177233701Medicaid