Provider Demographics
NPI:1376151746
Name:PARK CITIES HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PARK CITIES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUVEVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-844-5328
Mailing Address - Street 1:14114 DALLAS PKWY STE 460
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-4325
Mailing Address - Country:US
Mailing Address - Phone:469-844-5328
Mailing Address - Fax:
Practice Address - Street 1:14114 DALLAS PKWY STE 460
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4325
Practice Address - Country:US
Practice Address - Phone:469-844-5328
Practice Address - Fax:844-929-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty