Provider Demographics
NPI:1346572641
Name:ALTRERA HEALTH SERVICES
Entity Type:Organization
Organization Name:ALTRERA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:CHRISTIE-MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-202-9912
Mailing Address - Street 1:1216 GARDEN LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4160
Mailing Address - Country:US
Mailing Address - Phone:972-202-9912
Mailing Address - Fax:972-202-9912
Practice Address - Street 1:1216 GARDEN LAUREL DR
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4160
Practice Address - Country:US
Practice Address - Phone:972-202-9912
Practice Address - Fax:972-202-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health