Organization · Type 2 NPI

Intrepid of West Texas Inc

Home Health Agency · San Angelo, TX

NPI number 1104808781 Active

Practice location

3310 Loop 306
San Angelo, TX 76904

Call (325) 658-5550 Map

Fax (325) 658-8850

Mailing address

14841 Dallas Pkwy Ste 625
Dallas, TX 75254-7641

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	008792 (TX)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1104808781
Entity type: Organization (Type 2)
Issued: Nov 18, 2005
Last updated: Nov 8, 2022
Status: Active

Other names

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Intrepid USA Healthcare Services · doing business as
Intrepid USA Healthcare Services · doing business as

Authorized official

Robert Parker
CCO
(214) 445-3773

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104808781

Intrepid of West Texas Inc's National Provider Identifier is 1104808781, issued on Nov 18, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in San Angelo, TX. The record was last updated on Nov 8, 2022.