Dfw Medical Home PLLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irving, TX. Organization (NPI-2).
NPI number1124441423
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1124441423
- Entity type
- Organization (NPI-2)
- Legal business name
- Dfw Medical Home PLLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2014
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Texas Physician House Calls PLLC (Doing Business As)
Practice location
2925 Skyway Cir NIrving, TX 75038-3510
Phone 972-675-7313 · Fax 972-675-7310
Mailing address
2925 Skyway Cir NIrving, TX 75038-3510
Phone 972-675-7313 · Fax 972-675-7310
Authorized official
Sumana Ketha
Owner
9726395838
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