Provider Demographics
NPI:1295421592
Name:PROLIFIC HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:PROLIFIC HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSELY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:713-530-7322
Mailing Address - Street 1:10300 KATY FWY APT 557
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5139
Mailing Address - Country:US
Mailing Address - Phone:713-530-7322
Mailing Address - Fax:
Practice Address - Street 1:5410 N BRAESWOOD BLVD APT 885
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3250
Practice Address - Country:US
Practice Address - Phone:713-530-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251J00000XAgenciesNursing Care