MEDICARE: PROHEALTH HOUSE CALLS SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	662521	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396074332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROHEALTH HOUSE CALLS SERVICES INC.

Provider Business Mailing Address
First Line	:	2300 ROCKBROOK DR
Second Line	:	SUITE 222
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-8181
Country	:	US
Telephone Number	:	469-293-3676
Fax Number	:	469-293-3704

Provider Business Practice Location Address
First Line	:	2300 ROCKBROOK DR
Second Line	:	SUITE 222
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-8181
Country	:	US
Telephone Number	:	469-293-3676
Fax Number	:	469-293-3704

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER/OWNER
Name	:	REBECCA ETTA
Credential	:	ACNP-BC
Telephone Number	:	972-900-7222

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	07/16/2010

Similar Medicare Providers

1952560054 — REBECCA ETTA ACPN-BC
Practice Location Address:

2300 ROCKBROOK DR , SUITE 100 C
LEWISVILLE, TX
75067-8181

Practice Phone: 972-459-6632
Practice Fax: 972-459-6626

1962360966 — JULIE KEARNS ROSE LMFT ASSOCIATE
Practice Location Address:

2300 ROCKBROOK DR
LEWISVILLE, TX
75067-8181

Practice Phone: 214-724-4114
Practice Fax:

1508579970 — EMILEE CROWDER
Practice Location Address:

2300 ROCKBROOK DR
LEWISVILLE, TX
75067-8181

Practice Phone: 301-787-9912
Practice Fax:

1881555324 — PROHEALTH HOUSE CALLS SERVICES INC
Practice Location Address:

2300 ROCKBROOK DR
LEWISVILLE, TX
75067-8181

Practice Phone: 972-537-7511
Practice Fax:

1043160922 — BUMM KIM DC
Practice Location Address:

724 W MAIN ST STE 450
LEWISVILLE, TX
75067-3582

Practice Phone: 972-353-7711
Practice Fax: 972-219-0041

1295376630 — KEHINDE ROMOKE AMOSUN FNP
Practice Location Address:

873 S STEMMONS FWY
LEWISVILLE, TX
75067-5351

Practice Phone: 214-395-8659
Practice Fax: 833-966-2321

Directions to “PROHEALTH HOUSE CALLS SERVICES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.