Provider Demographics
NPI:1801295019
Name:DOCTORS ON WHEELS PLLC
Entity type:Organization
Organization Name:DOCTORS ON WHEELS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANOHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GHATRAZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-850-7098
Mailing Address - Street 1:1513 VICEROY DR
Mailing Address - Street 2:SUITE 135
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-2303
Mailing Address - Country:US
Mailing Address - Phone:972-839-8565
Mailing Address - Fax:214-879-0140
Practice Address - Street 1:1513 VICEROY DR
Practice Address - Street 2:SUITE 135
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-2303
Practice Address - Country:US
Practice Address - Phone:972-839-8565
Practice Address - Fax:214-879-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities