Provider Demographics
NPI:1487700365
Name:CAMONEX VISION HOMECARE, INC.
Entity type:Organization
Organization Name:CAMONEX VISION HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TANTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:214-952-7023
Mailing Address - Street 1:4640 SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-4735
Mailing Address - Country:US
Mailing Address - Phone:972-775-5747
Mailing Address - Fax:972-775-5173
Practice Address - Street 1:4640 SHILOH RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-4735
Practice Address - Country:US
Practice Address - Phone:972-775-5747
Practice Address - Fax:972-775-5173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010720251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health