Provider Demographics
NPI:1740419647
Name:EPIC MEDSTAFF HOME HEALTHCARE DALLAS INC
Entity Type:Organization
Organization Name:EPIC MEDSTAFF HOME HEALTHCARE DALLAS INC
Other - Org Name:EPIC MEDSTAFF HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-498-9895
Mailing Address - Street 1:8514 SAN LEANDRO DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4300
Mailing Address - Country:US
Mailing Address - Phone:214-498-9895
Mailing Address - Fax:469-364-8689
Practice Address - Street 1:8514 SAN LEANDRO DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-4300
Practice Address - Country:US
Practice Address - Phone:214-498-9895
Practice Address - Fax:469-364-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health