Healthcare Provider Details

I. General information

NPI: 1548903768
Provider Name (Legal Business Name): TELECARE HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 WADE CT
EULESS TX
76039-2045
US

IV. Provider business mailing address

524 WADE CT
EULESS TX
76039-2045
US

V. Phone/Fax

Practice location:
  • Phone: 469-569-6558
  • Fax:
Mailing address:
  • Phone: 469-569-6558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SALEEMA HIRANI
Title or Position: OWNER
Credential: FNP
Phone: 469-569-6558