Provider Demographics
NPI:1639403918
Name:TAESSO CARE
Entity Type:Organization
Organization Name:TAESSO CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:WOGHIREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-453-5505
Mailing Address - Street 1:2714 ASHFORD TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2123
Mailing Address - Country:US
Mailing Address - Phone:281-558-7974
Mailing Address - Fax:281-558-7974
Practice Address - Street 1:2714 ASHFORD TRAIL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2123
Practice Address - Country:US
Practice Address - Phone:281-558-7974
Practice Address - Fax:281-558-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care