Provider Demographics
NPI:1184193443
Name:TEXAN HOME CARE SERVICE, LLC
Entity Type:Organization
Organization Name:TEXAN HOME CARE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-256-7695
Mailing Address - Street 1:2616 S LOOP W STE 301E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2875
Mailing Address - Country:US
Mailing Address - Phone:713-492-2537
Mailing Address - Fax:713-493-2837
Practice Address - Street 1:2616 S LOOP W STE 301E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2875
Practice Address - Country:US
Practice Address - Phone:713-492-2537
Practice Address - Fax:713-493-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health