Provider Demographics
NPI:1083038327
Name:MP HOUSE CALLS LLC
Entity Type:Organization
Organization Name:MP HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:PICAZO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-293-9692
Mailing Address - Street 1:917 RAGLAND DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-9265
Mailing Address - Country:US
Mailing Address - Phone:972-293-9692
Mailing Address - Fax:
Practice Address - Street 1:917 RAGLAND DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-9265
Practice Address - Country:US
Practice Address - Phone:972-293-9692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty