Rose Antwi

Individual provider Active NPI Personal Care Attendant · Cedar Park, TX

NPI 1619300910 · NPPES record last updated Aug 10, 2013

Key facts

NPI
1619300910
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
License
NOT YET (TX)
Practice address
2803 Little Elm TRL
Cedar Park, TX 78613-5251
Phone
(512) 934-2563
NPI assigned
Aug 10, 2013
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

State licenses

LicenseStateTypeSpecialty
NOT YETTXMDPersonal Care Attendant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NOT YET TX Yes

Addresses

Primary practice location

2803 Little Elm TRL
Cedar Park, TX 78613-5251

Mailing address

PO Box 170171
Austin, TX 78717-0011
Phone (512) 934-2563

Other providers in Cedar Park, TX

All providers in Cedar Park, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.