Provider Demographics
NPI:1679983662
Name:CITYWIDE HOUSECALLS, LLC
Entity Type:Organization
Organization Name:CITYWIDE HOUSECALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-904-5230
Mailing Address - Street 1:8035 E R L THORNTON FWY STE 424
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7069
Mailing Address - Country:US
Mailing Address - Phone:972-808-7541
Mailing Address - Fax:888-227-0925
Practice Address - Street 1:8035 E R L THORNTON FWY STE 424
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7069
Practice Address - Country:US
Practice Address - Phone:972-808-7541
Practice Address - Fax:888-227-0925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty