Provider Demographics
NPI:1699213686
Name:I&R HEALTH SERVICES
Entity Type:Organization
Organization Name:I&R HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD NURSE
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:JC
Authorized Official - Last Name:NAZAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:512-573-0929
Mailing Address - Street 1:2501 LOUIS HENNA BLVD APT 914
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:512-573-0929
Mailing Address - Fax:
Practice Address - Street 1:2501 LOUIS HENNA BLVD APT 914
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-573-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management