Provider Demographics
NPI:1760549067
Name:CONFIDENCE HEALTHCARE SERVICES ,INC.
Entity Type:Organization
Organization Name:CONFIDENCE HEALTHCARE SERVICES ,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:N
Authorized Official - Last Name:UDOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-533-8721
Mailing Address - Street 1:2113 SUANNE DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-4846
Mailing Address - Country:US
Mailing Address - Phone:903-533-8721
Mailing Address - Fax:903-533-8721
Practice Address - Street 1:2113 SUANNE DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-4846
Practice Address - Country:US
Practice Address - Phone:903-533-8721
Practice Address - Fax:903-533-8721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0800514560302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization