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PROHEALTH HOUSE CALLS SERVICES INC. NPI 1396074332


NPI Information

NPI: 1396074332
Provider Name: PROHEALTH HOUSE CALLS SERVICES INC.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
2300 ROCKBROOK DR
SUITE 222
LEWISVILLE, TX
ZIP 75067
Phone: (469) 293-3676
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PROHEALTH HOUSE CALLS SERVICES INC. is an acute care nurse practitioner in Lewisville, TX. PROHEALTH HOUSE CALLS SERVICES INC. NPI is 1396074332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 ROCKBROOK DR
SUITE 222
LEWISVILLE, TX
ZIP 75067-181
Phone: (469) 293-3676
Fax: (469) 293-3704

The provider's authorized official is Rebecca Etta .
The authorized official title is Chief Executive Officer/owner and has the following contact phone number (972) 900-7222.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 7/16/2010.


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
1363LA2100XNurse PractitionerAcute Care662521TEXASYes

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
10A5708MEDICARE PINTEXAS
2211014001MEDICAIDTEXAS

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
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