Provider Demographics
NPI:1639164718
Name:YOUR HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:YOUR HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:MACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-682-5999
Mailing Address - Street 1:4801 S BUCKNER BLVD
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2373
Mailing Address - Country:US
Mailing Address - Phone:972-682-5999
Mailing Address - Fax:972-682-5699
Practice Address - Street 1:4801 S BUCKNER BLVD
Practice Address - Street 2:SUITE 1300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2373
Practice Address - Country:US
Practice Address - Phone:972-682-5999
Practice Address - Fax:972-682-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10006497OtherAMERIGROUP
TX10968OtherPARKLAND
TX531315OtherBLUE CROSS BLUE SHIELD
TX5299020001Medicare ID - Type Unspecified