Provider Demographics
NPI:1639308729
Name:FT HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:FT HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:IZORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-329-6035
Mailing Address - Street 1:500 W CARTWRIGHT RD
Mailing Address - Street 2:SUITE 927
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75180-4840
Mailing Address - Country:US
Mailing Address - Phone:972-329-6035
Mailing Address - Fax:972-329-6036
Practice Address - Street 1:500 W CARTWRIGHT RD
Practice Address - Street 2:SUITE 927
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75180-4840
Practice Address - Country:US
Practice Address - Phone:972-329-6035
Practice Address - Fax:972-329-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health