Provider Demographics
NPI:1043514102
Name:TARRANT COUNTY PHYSICIANS CHOICE HOMECARE LLC
Entity Type:Organization
Organization Name:TARRANT COUNTY PHYSICIANS CHOICE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELAUNTE
Authorized Official - Middle Name:MISHELL
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-412-9916
Mailing Address - Street 1:6800 HERITAGE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-8746
Mailing Address - Country:US
Mailing Address - Phone:972-412-9916
Mailing Address - Fax:972-412-9971
Practice Address - Street 1:6800 HERITAGE PKWY STE 103
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-8746
Practice Address - Country:US
Practice Address - Phone:972-412-9916
Practice Address - Fax:972-412-9971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health