Healthcare Provider Details

I. General information

NPI: 1477274835
Provider Name (Legal Business Name): ECHO HEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022
Certification Date: 02/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HARWOOD RD
BEDFORD TX
76021-4183
US

IV. Provider business mailing address

401 HARWOOD RD
BEDFORD TX
76021-4183
US

V. Phone/Fax

Practice location:
  • Phone: 972-807-3600
  • Fax: 972-807-3608
Mailing address:
  • Phone: 972-807-3600
  • Fax: 972-807-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MANINDER KAUR
Title or Position: PROVIDER
Credential: NURSE PRACITITIONER
Phone: 209-209-8046