TEXAS FIRST HOUSECALL ASSOCIATES INC NPI 1063758050

NPI Information

NPI: 1063758050
Provider Name: TEXAS FIRST HOUSECALL ASSOCIATES INC
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
3201 INTERSTATE 30
SUITE H
MESQUITE, TX
ZIP 75150
Phone: (972) 677-7564
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TEXAS FIRST HOUSECALL ASSOCIATES INC is a family health clinical nurse specialist in Mesquite, TX. TEXAS FIRST HOUSECALL ASSOCIATES INC NPI is 1063758050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 INTERSTATE 30
SUITE H
MESQUITE, TX
ZIP 75150-605
Phone: (972) 677-7564
Fax: (972) 677-7419

The provider's authorized official is Zainabu Koroma .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (972) 467-2249.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 5/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SF0001X	Clinical Nurse Specialist	Family Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3228108	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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