Healthcare Provider Details

I. General information

NPI: 1386097558
Provider Name (Legal Business Name): PERFECT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 N MACARTHUR BLVD STE 103
IRVING TX
75062-4404
US

IV. Provider business mailing address

4555 LORRAINE AVE
DALLAS TX
75205-3612
US

V. Phone/Fax

Practice location:
  • Phone: 940-228-3434
  • Fax:
Mailing address:
  • Phone: 940-782-6642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP3048
License Number StateTX

VIII. Authorized Official

Name: DR. VAISHALI BHUSARI
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 940-782-6642