Provider Demographics
NPI:1245712447
Name:AA HOUSE CALLS MEDICAL GROUP
Entity type:Organization
Organization Name:AA HOUSE CALLS MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKAMA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN RN
Authorized Official - Phone:832-515-9903
Mailing Address - Street 1:6522 LAUREL RUN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1567
Mailing Address - Country:US
Mailing Address - Phone:832-515-9903
Mailing Address - Fax:281-550-3959
Practice Address - Street 1:6522 LAUREL RUN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1567
Practice Address - Country:US
Practice Address - Phone:832-515-9903
Practice Address - Fax:281-550-3959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251E00000XAgenciesHome Health