Provider Demographics
NPI:1275658155
Name:MED FX HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:MED FX HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-809-1456
Mailing Address - Street 1:PO BOX 382348
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75138-2348
Mailing Address - Country:US
Mailing Address - Phone:214-809-1456
Mailing Address - Fax:
Practice Address - Street 1:6921 CLARK VISTA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75236-5833
Practice Address - Country:US
Practice Address - Phone:972-780-8202
Practice Address - Fax:972-709-9249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health