At Home Care Mht LLC
Family Medicine in Bethany, OK. Organization (NPI-2).
NPI number1417366352
StatusActive
Last updated in NPPESAug 5, 2014
Details
- NPI
- 1417366352
- Entity type
- Organization (NPI-2)
- Legal business name
- At Home Care Mht LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Aug 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | OK | Yes |
Practice location
7530 Nw 23rd StBethany, OK 73008-4921
Phone 855-860-2109
Mailing address
1515 Heritage DriveSuite 110
McKinney, TX 75069-3379
Phone 855-860-2109
Authorized official
Joseph Broome
Owner
4054206570
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