Rosie M Carmack

Individual provider Active NPI Personal Care Attendant · Brenham, TX

NPI 1174877005 · NPPES record last updated Oct 30, 2012

Key facts

NPI
1174877005
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
2699 Schulte Blvd
#703
Brenham, TX 77833-5994
Phone
(979) 203-2294
Fax
(979) 830-4137
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

2699 Schulte Blvd
#703
Brenham, TX 77833-5994

Mailing address

2699 Schulte Blvd
#703
Brenham, TX 77833-5994
Phone (979) 203-2294

Other providers in Brenham, TX

All providers in Brenham, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.