Provider Demographics
NPI:1750689956
Name:MICHAEL LYNN LITTLEJOHN
Entity Type:Organization
Organization Name:MICHAEL LYNN LITTLEJOHN
Other - Org Name:TEXAS HOUSE CALL MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LITTLEJOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-334-9210
Mailing Address - Street 1:300 N 8TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2640
Mailing Address - Country:US
Mailing Address - Phone:972-723-7565
Mailing Address - Fax:800-582-8295
Practice Address - Street 1:300 N 8TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2640
Practice Address - Country:US
Practice Address - Phone:972-723-7565
Practice Address - Fax:800-582-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care