Healthcare Provider Details

I. General information

NPI: 1508036229
Provider Name (Legal Business Name): HOUSECALL DOCTORS OF NORTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 QUANTUM LAKES DR SUITE 108
BOYNTON BEACH FL
33426-8324
US

IV. Provider business mailing address

2500 QUANTUM LAKES DR SUITE 108
BOYNTON BEACH FL
33426-8324
US

V. Phone/Fax

Practice location:
  • Phone: 561-244-0220
  • Fax: 561-244-0221
Mailing address:
  • Phone: 561-244-0220
  • Fax: 561-244-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number00724Z
License Number StateTX

VIII. Authorized Official

Name: DR. KENNETH SHERMAN
Title or Position: PRESIDENT
Credential:
Phone: 561-244-0220