Provider Demographics
NPI:1275248155
Name:REAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:REAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER/CODER
Authorized Official - Prefix:
Authorized Official - First Name:THEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS-LABOME
Authorized Official - Suffix:
Authorized Official - Credentials:CS
Authorized Official - Phone:832-398-2707
Mailing Address - Street 1:1622 W ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4102
Mailing Address - Country:US
Mailing Address - Phone:888-234-3482
Mailing Address - Fax:832-553-7762
Practice Address - Street 1:1622 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4102
Practice Address - Country:US
Practice Address - Phone:888-234-3482
Practice Address - Fax:832-553-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty