LILLY ITUEN


Address: 1524 Audrey Dr, Royse City, TX 75189-3561
Phone: 2149296656

LILLY ITUEN (NPI# 1700328341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700328341
Entity Type Individual
Full Name LILLY ITUEN
Practice Address 1524 Audrey Dr
Royse City
TX 75189-3561
Practice Telephone 2149296656
Mailing Telephone 2149296656
Enumeration Date 2016-11-14
Last Update Date 2016-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 251G00000X TX Agencies

Office Location

Street Address 1524 AUDREY DR
City ROYSE CITY
State TX
Zip Code 75189-3561

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1922483155 Wal-mart Stores Texas, LLC Technician/Technologist 494 W. Interstate 30, Royse City, TX 75189 2015-07-29
1558745430 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 476 W I-30, Royse City, TX 75189 2015-07-10
1073940011 Purely Dental Group Pllc S-corp Dentist 7406 State Highway 66, Royse City, TX 75189 2013-10-05
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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Competitor

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City ROYSE CITY
Zip Code 75189

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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