Goshen Medical Housecall PLLC
Clinic/Center, Primary Care in Duncanville, TX. Organization (NPI-2).
NPI number1255017232
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1255017232
- Entity type
- Organization (NPI-2)
- Legal business name
- Goshen Medical Housecall PLLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
150 E Highway 67 Ste 180Duncanville, TX 75137-4476
Phone 469-358-5195
Mailing address
905 Belclaire CirCedar Hill, TX 75104-1237
Phone 469-358-5195
Authorized official
Blessing Cordilia Egede
President
4693585195
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