Provider Demographics
NPI:1073613931
Name:CLH PHYSICIANS PA
Entity Type:Organization
Organization Name:CLH PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOBLIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-984-1404
Mailing Address - Street 1:660 PRESTON FOREST CTR # 197
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2718
Mailing Address - Country:US
Mailing Address - Phone:972-984-1404
Mailing Address - Fax:214-975-2793
Practice Address - Street 1:660 PRESTON FOREST CTR # 197
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2718
Practice Address - Country:US
Practice Address - Phone:214-549-1479
Practice Address - Fax:214-975-2793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00655XMedicare PIN