Basic Information
| Provider Information | |||||||||
| NPI: | 1619014966 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BROWN AND BROWN RESOURCES | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HOME NURSING AND THERAPY SERVICES, INC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7330 SAN PEDRO AVE | ||||||||
| Address2: | SUITE 525 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782166235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108228807 | ||||||||
| FaxNumber: | 2108228863 | ||||||||
| Practice Location | |||||||||
| Address1: | 7330 SAN PEDRO AVE | ||||||||
| Address2: | SUITE 525 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782166235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108228807 | ||||||||
| FaxNumber: | 2108228863 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GODWIN | ||||||||
| AuthorizedOfficialFirstName: | JERRY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 2108228807 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 010116 | TX | Y | Agencies | Home Health |
No ID Information.