Provider Demographics
NPI:1750667705
Name:NATIONAL HOUSE CALL PRACTITIONERS
Entity Type:Organization
Organization Name:NATIONAL HOUSE CALL PRACTITIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7563
Mailing Address - Street 1:1526 COLE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3410
Mailing Address - Country:US
Mailing Address - Phone:720-548-1194
Mailing Address - Fax:303-423-7004
Practice Address - Street 1:7710 RIALTO BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8579
Practice Address - Country:US
Practice Address - Phone:512-288-0859
Practice Address - Fax:512-301-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty