Provider Demographics
NPI:1265549521
Name:TNT MEDICAL - A HOME HEALTHCARE AGENCY
Entity type:Organization
Organization Name:TNT MEDICAL - A HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYTRIANA
Authorized Official - Middle Name:KEEL
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-223-8688
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75123-1420
Mailing Address - Country:US
Mailing Address - Phone:972-223-8688
Mailing Address - Fax:888-868-4497
Practice Address - Street 1:711 CORNERSTONE LN
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-6010
Practice Address - Country:US
Practice Address - Phone:972-223-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health