Geranique Dugas Hullaby

Individual provider Active NPI Case Manager/Care Coordinator · Orange, TX

NPI 1407544646 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1407544646
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2330 Butler Dr
Orange, TX 77630-2558
Phone
(409) 600-5335
NPI assigned
Apr 26, 2023
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2330 Butler Dr
Orange, TX 77630-2558

Mailing address

2330 Butler Dr
Orange, TX 77630-2558

Other providers in Orange, TX

All providers in Orange, TX · Case Manager/Care Coordinator in Texas

Sources for this page

Verify at the official NPI Registry.