Healthcare Provider Details
I. General information
NPI: 1497054936
Provider Name (Legal Business Name): HOUSTON HOUSE CALLS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2011
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5303 ALAMOSA LN
SPRING TX
77379-8038
US
IV. Provider business mailing address
5303 ALAMOSA LN
SPRING TX
77379-8038
US
V. Phone/Fax
- Phone: 832-445-7575
- Fax:
- Phone: 832-445-7575
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 643777 |
| License Number State | TX |
VIII. Authorized Official
Name:
JOSE
LUIS
SAUCEDA
Title or Position: PRESIDENT
Credential: NP
Phone: 832-445-7575