Healthcare Provider Details

I. General information

NPI: 1417320789
Provider Name (Legal Business Name): DAY HOME VISITS MHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2015
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HERITAGE DR SUITE 110
MCKINNEY TX
75069-3256
US

IV. Provider business mailing address

7777 FOREST LN
DALLAS TX
75230-2571
US

V. Phone/Fax

Practice location:
  • Phone: 972-616-4932
  • Fax:
Mailing address:
  • Phone: 214-616-4932
  • Fax: 877-489-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK1411
License Number StateTX

VIII. Authorized Official

Name: GUSTAVO DAY
Title or Position: OWNER
Credential:
Phone: 972-566-6764