Provider Demographics
NPI:1629231386
Name:ANGELIC TOUCH HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ANGELIC TOUCH HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MERLIN
Authorized Official - Last Name:TANKOUA
Authorized Official - Suffix:
Authorized Official - Credentials:PE
Authorized Official - Phone:713-513-0294
Mailing Address - Street 1:2124 LIMRICK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5156
Mailing Address - Country:US
Mailing Address - Phone:713-513-0294
Mailing Address - Fax:
Practice Address - Street 1:2124 LIMRICK DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5156
Practice Address - Country:US
Practice Address - Phone:713-513-0294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health