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NPI Code Detail

MEDICARE: HEALTHCARE LIAISON PROFESSIONALS, INC

MEDICARE: HEALTHCARE LIAISON PROFESSIONALS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1780823054
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE LIAISON PROFESSIONALS, INC
Provider Business Mailing Address
First Line : 1513 VICEROY DR
Second Line : SUITE 101
City : DALLAS
State : TX
Zip : 75235-2303
Country : US
Telephone Number : 214-244-9114
Fax Number :
Provider Business Practice Location Address
First Line : 1513 VICEROY DR
Second Line : SUITE
City : DALLAS
State : TX
Zip : 75235-2303
Country : US
Telephone Number : 214-244-9114
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. NOBLE EZUKANMA
Credential : M.D.
Telephone Number : 469-595-4730
Provider Enumeration Date : 02/11/2009
Last Update Date : 06/13/2012

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Directions to “HEALTHCARE LIAISON PROFESSIONALS, INC ” Practice Location

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