Provider Demographics
NPI:1376920975
Name:4TEXANS HEALTH SERVICES
Entity Type:Organization
Organization Name:4TEXANS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-987-1179
Mailing Address - Street 1:234 MEYER ST
Mailing Address - Street 2:STE O
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-2325
Mailing Address - Country:US
Mailing Address - Phone:979-987-1179
Mailing Address - Fax:
Practice Address - Street 1:234 MEYER ST
Practice Address - Street 2:STE O
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-2325
Practice Address - Country:US
Practice Address - Phone:979-987-1179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health