PF Total Adult & Beauty Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PF TOTAL ADULT & BEAUTY HEALTH AGENCY

Practice address

11408 Hwy 64 W
Tyler, TX 75704-6928

Phone

(903) 747-5736

NPI assigned

Jan 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marquita Evans

Title

Owner/Lead Administrator

Phone

(903) 747-5736

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1356731376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 HWY 64 W",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046928",
            "telephone_number": "903-747-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 HWY 64 W",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046928",
            "telephone_number": "903-747-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF TOTAL ADULT & BEAUTY HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "OWNER/LEAD ADMINISTRATOR",
        "authorized_official_telephone_number": "903-747-5736"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ryan Pettit, CRNA
• Joseph Lee Petty, M.D.
• Shaunda Rena Petty
• Tara Lynn Peurifoy, AGACNP-BC
• Sharon Kay Peymon, LPC
• Brian Douglas Pfeiffer, MD
• Carina Pham, SLP- ASSISTANT
• Christopher Pham
• Thinh Sy-Quoc Pham, D.D.S.
• Phu Cuong Phan, MD

• Home Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.