Provider Demographics
NPI:1770814501
Name:WHITEGLOVE HOUSE CALL HEALTH,INC.
Entity Type:Organization
Organization Name:WHITEGLOVE HOUSE CALL HEALTH,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-329-8081
Mailing Address - Street 1:9901 IH 10 W
Mailing Address - Street 2:SUITE 8045
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2246
Mailing Address - Country:US
Mailing Address - Phone:210-558-2800
Mailing Address - Fax:
Practice Address - Street 1:9901 IH 10 W
Practice Address - Street 2:SUITE 8045
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2246
Practice Address - Country:US
Practice Address - Phone:210-558-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX555382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty