Provider Demographics
NPI:1720648652
Name:AMATUS HEALTH CARE EAST TEXAS INC
Entity Type:Organization
Organization Name:AMATUS HEALTH CARE EAST TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:214-878-4746
Mailing Address - Street 1:2010 VALLEY VIEW LN STE 200
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-8915
Mailing Address - Country:US
Mailing Address - Phone:972-249-4999
Mailing Address - Fax:972-468-6991
Practice Address - Street 1:301 GILMER ST STE A
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2773
Practice Address - Country:US
Practice Address - Phone:903-231-0402
Practice Address - Fax:903-231-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty