Provider Demographics
NPI:1780013573
Name:RESTORA HOUSE CALLS PLLC
Entity Type:Organization
Organization Name:RESTORA HOUSE CALLS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NJAMFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-375-1700
Mailing Address - Street 1:7569 QUIET MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3134
Mailing Address - Country:US
Mailing Address - Phone:972-375-1700
Mailing Address - Fax:972-231-9108
Practice Address - Street 1:7569 QUIET MEADOW LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3134
Practice Address - Country:US
Practice Address - Phone:972-375-1700
Practice Address - Fax:972-231-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty