Provider Demographics
NPI:1356852057
Name:PHYSICIAN HOUSE CALLS OF TEXAS, P.A.
Entity Type:Organization
Organization Name:PHYSICIAN HOUSE CALLS OF TEXAS, P.A.
Other - Org Name:TEXAS HOUSE CALL PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-908-3550
Mailing Address - Street 1:878 ASHFORD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6429
Mailing Address - Country:US
Mailing Address - Phone:214-908-3550
Mailing Address - Fax:
Practice Address - Street 1:878 ASHFORD LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6429
Practice Address - Country:US
Practice Address - Phone:214-908-3550
Practice Address - Fax:877-837-3618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty