Provider Demographics
NPI:1770819559
Name:EULESS HEALTH CARE CORP
Entity Type:Organization
Organization Name:EULESS HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOGHOS
Authorized Official - Middle Name:GARABED
Authorized Official - Last Name:BABADJANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-285-7770
Mailing Address - Street 1:222 W BEDFORD EULESS RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4048
Mailing Address - Country:US
Mailing Address - Phone:817-285-7770
Mailing Address - Fax:817-285-7773
Practice Address - Street 1:222 W BEDFORD EULESS RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4048
Practice Address - Country:US
Practice Address - Phone:817-285-7770
Practice Address - Fax:817-285-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service