Healthcare Provider Details

I. General information

NPI: 1366122749
Provider Name (Legal Business Name): WHITE COAT HOUSE CALLS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 OAK HOLLOW LN
SULPHUR SPRINGS TX
75482-9705
US

IV. Provider business mailing address

162 OAK HOLLOW LN
SULPHUR SPRINGS TX
75482-9705
US

V. Phone/Fax

Practice location:
  • Phone: 903-335-5900
  • Fax: 903-765-7723
Mailing address:
  • Phone: 903-335-5900
  • Fax: 903-765-7723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MORRESA MAELYN BAIN
Title or Position: FNP-C/OWNER
Credential: FNP-C
Phone: 903-335-5900