Advanced House Call, LLC
Nurse Practitioner, Family in Irving, TX. Organization (NPI-2).
NPI number1609429828
StatusActive
Last updated in NPPESJul 17, 2019
Details
- NPI
- 1609429828
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced House Call, LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2019
- Last updated
- Jul 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1647 Brighton DownsIrving, TX 75060-4885
Phone 214-463-0698
Mailing address
1647 Brighton DownsIrving, TX 75060-4885
Phone 214-463-0698
Authorized official
Joby T Thankappan
Owner
2144630698
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