Provider Demographics
NPI:1811540826
Name:EH MEDICAL PLLC
Entity Type:Organization
Organization Name:EH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRECQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-937-5112
Mailing Address - Street 1:7948 DAVIS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:N RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-6954
Mailing Address - Country:US
Mailing Address - Phone:817-577-6061
Mailing Address - Fax:817-577-2345
Practice Address - Street 1:7948 DAVIS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:N RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-6954
Practice Address - Country:US
Practice Address - Phone:817-577-6061
Practice Address - Fax:817-577-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty