Provider Demographics
NPI:1033273008
Name:HOUSE CALLS PHYSICIANS PLLC
Entity Type:Organization
Organization Name:HOUSE CALLS PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MED DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HICHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-HORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-554-9101
Mailing Address - Street 1:6842 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2084
Mailing Address - Country:US
Mailing Address - Phone:313-554-9101
Mailing Address - Fax:313-554-9102
Practice Address - Street 1:6842 PARK AVE
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2084
Practice Address - Country:US
Practice Address - Phone:313-554-9101
Practice Address - Fax:313-554-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301080756207Q00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI100H203140OtherBCBS
MI0P40280Medicare PIN