Healthcare Provider Details

I. General information

NPI: 1225275316
Provider Name (Legal Business Name): HEBRON HEALTH CARE SERVICES. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 PRESTON RD STE 460E
DALLAS TX
75240-4967
US

IV. Provider business mailing address

2905 DUSTYWOOD DR
MCKINNEY TX
75071-6783
US

V. Phone/Fax

Practice location:
  • Phone: 972-807-2541
  • Fax: 972-807-2542
Mailing address:
  • Phone: 972-900-3652
  • Fax: 877-306-2754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number012285
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. IFEOMA N IROKWE
Title or Position: RN
Credential: ADMINISTRATOR
Phone: 972-238-8300