Provider Demographics
NPI:1164755088
Name:HEALTHCARE HOUSECALLS, LLC
Entity Type:Organization
Organization Name:HEALTHCARE HOUSECALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, MS, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:972-222-1499
Mailing Address - Street 1:PO BOX 870460
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75187-0460
Mailing Address - Country:US
Mailing Address - Phone:972-222-1499
Mailing Address - Fax:972-222-1499
Practice Address - Street 1:603 SPRING MILLS RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2674
Practice Address - Country:US
Practice Address - Phone:972-222-1499
Practice Address - Fax:972-222-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty