Provider Demographics
NPI:1598992166
Name:A-MEDICAL HOUSECALLS
Entity Type:Organization
Organization Name:A-MEDICAL HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KANU
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-548-8998
Mailing Address - Street 1:15330 LBJ FRWY
Mailing Address - Street 2:STE 206
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1233
Mailing Address - Country:US
Mailing Address - Phone:972-698-0040
Mailing Address - Fax:972-698-9080
Practice Address - Street 1:15330 LBJ FRWY
Practice Address - Street 2:STE 206
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1233
Practice Address - Country:US
Practice Address - Phone:972-698-0040
Practice Address - Fax:972-698-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty