Provider Demographics
NPI:1548446958
Name:CTEL, LLC
Entity type:Organization
Organization Name:CTEL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-416-7435
Mailing Address - Street 1:418 JEWEL LANDING
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4660
Mailing Address - Country:US
Mailing Address - Phone:218-416-7435
Mailing Address - Fax:218-416-8435
Practice Address - Street 1:418 JEWEL LANDING
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4660
Practice Address - Country:US
Practice Address - Phone:218-416-7435
Practice Address - Fax:218-416-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800922130251E00000X
TX011926251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health