NPI Profile for VELLA MADDOX in DEPORT, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Adult Companion |
372600000X | |||
Attendant Care Provider |
3747A0650X | |||
Chore Provider |
372500000X | |||
Home Health Aide |
374U00000X | |||
Homemaker |
376J00000X | |||
Personal Care Attendant |
3747P1801X | |||
Technician |
374700000X |
| NPI # | 1043522030 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 07/08/2010 | |
| Last updated | 07/08/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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VELLA MADDOX
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