Provider Demographics
NPI:1770765521
Name:HIGH PERFORMANCE HEALTHCARE, INC.
Entity type:Organization
Organization Name:HIGH PERFORMANCE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-235-7047
Mailing Address - Street 1:112 WESTMINISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4413
Mailing Address - Country:US
Mailing Address - Phone:469-235-7047
Mailing Address - Fax:972-384-1149
Practice Address - Street 1:112 WESTMINISTER AVE
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4413
Practice Address - Country:US
Practice Address - Phone:469-235-7047
Practice Address - Fax:972-384-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health