Provider Demographics
NPI:1265694343
Name:MEDCARE HOUSE CALLS LLC
Entity type:Organization
Organization Name:MEDCARE HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GYAMFEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN FNP-BC
Authorized Official - Phone:214-348-7611
Mailing Address - Street 1:9696 SKILLMAN ST
Mailing Address - Street 2:SUITE 285 LB 42
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8264
Mailing Address - Country:US
Mailing Address - Phone:214-348-7611
Mailing Address - Fax:972-606-9563
Practice Address - Street 1:9696 SKILLMAN ST
Practice Address - Street 2:SUITE 285 LB 42
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8264
Practice Address - Country:US
Practice Address - Phone:214-348-7611
Practice Address - Fax:972-606-9563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty