Provider Demographics
NPI:1265805840
Name:HITE, CAROL L
Entity type:Individual
Prefix:
First Name:CAROL L
Middle Name:
Last Name:HITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 FAIRBANKS ST
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-1218
Mailing Address - Country:US
Mailing Address - Phone:254-813-7420
Mailing Address - Fax:
Practice Address - Street 1:1306 FAIRBANKS ST
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-1218
Practice Address - Country:US
Practice Address - Phone:254-813-7420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide