Provider Demographics
NPI:1285699355
Name:NOVUS CURA HEALTHCARE P C
Entity type:Organization
Organization Name:NOVUS CURA HEALTHCARE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYRIAC
Authorized Official - Middle Name:S
Authorized Official - Last Name:THOTTATHIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-966-7035
Mailing Address - Street 1:1102 CHESAPEAKE ST
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-6394
Mailing Address - Country:US
Mailing Address - Phone:817-966-7035
Mailing Address - Fax:817-354-4730
Practice Address - Street 1:1102 CHESAPEAKE ST
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-6394
Practice Address - Country:US
Practice Address - Phone:817-966-7035
Practice Address - Fax:817-354-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009708163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677800Medicare ID - Type UnspecifiedMEDICARE PROVIDER #