Healthcare Provider Details

I. General information

NPI: 1629024443
Provider Name (Legal Business Name): HOUSECALL DOCTORS OF NORTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 LBJ FWY SUITE 208
DALLAS TX
75240-6401
US

IV. Provider business mailing address

2400 HIGH RIDGE RD SUITE 101 AND 103
BOYNTON BEACH FL
33426-8725
US

V. Phone/Fax

Practice location:
  • Phone: 561-244-0220
  • Fax: 561-244-0222
Mailing address:
  • Phone: 561-244-0220
  • Fax: 561-244-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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