Healthcare Provider Details

I. General information

NPI: 1164811964
Provider Name (Legal Business Name): ALL CARE HEALTH CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E BELT LINE RD STE. G
CEDAR HILL TX
75104-2274
US

IV. Provider business mailing address

103 E BELT LINE RD STE. G
CEDAR HILL TX
75104-2274
US

V. Phone/Fax

Practice location:
  • Phone: 972-291-1992
  • Fax: 972-291-1163
Mailing address:
  • Phone: 972-291-1992
  • Fax: 972-291-1163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08020
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LESA G ANSELL
Title or Position: OWNER
Credential: D.C.
Phone: 972-291-1992