Provider Demographics
NPI:1821654443
Name:FOCUS MEDICAL HOUSECALL PLLC
Entity Type:Organization
Organization Name:FOCUS MEDICAL HOUSECALL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOSIMOT
Authorized Official - Middle Name:TUTU
Authorized Official - Last Name:ADEPEGBA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:972-333-9798
Mailing Address - Street 1:1701 WYLIE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1716
Mailing Address - Country:US
Mailing Address - Phone:972-333-9798
Mailing Address - Fax:469-297-4659
Practice Address - Street 1:1701 WYLIE CREEK DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1716
Practice Address - Country:US
Practice Address - Phone:972-333-9798
Practice Address - Fax:469-297-4659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty