Provider Demographics
NPI:1477330405
Name:TRUSTED HEARTS HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:TRUSTED HEARTS HEALTH SERVICES, PLLC
Other - Org Name:AURORA CONCEPTS MADISONVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHRIES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:936-241-5060
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:TX
Mailing Address - Zip Code:75459-0837
Mailing Address - Country:US
Mailing Address - Phone:936-241-5060
Mailing Address - Fax:936-241-5065
Practice Address - Street 1:1613 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TX
Practice Address - Zip Code:77864-2207
Practice Address - Country:US
Practice Address - Phone:936-241-5060
Practice Address - Fax:936-241-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty