Provider Demographics
NPI:1730457946
Name:RCSWF LLC
Entity Type:Organization
Organization Name:RCSWF LLC
Other - Org Name:PHYSICIAN HOME PATIENT MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CITIZEN SANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-300-7235
Mailing Address - Street 1:12719 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3903
Mailing Address - Country:US
Mailing Address - Phone:713-528-2097
Mailing Address - Fax:713-960-1122
Practice Address - Street 1:4141 SOUTHWEST FWY
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7313
Practice Address - Country:US
Practice Address - Phone:713-528-7902
Practice Address - Fax:713-960-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7120261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1396763611OtherMEDICAL DIRECTOR
TX1659395952OtherMEDICAL DIRECTOR
TX1427034271OtherMEDICAL DIRECTOR
TX1396763611OtherMEDICAL DIRECTOR
TX1659395952Medicare PIN
TX1396763611Medicare PIN
TX1427034271Medicare PIN