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NPI Code Detail

MEDICARE: YOUR HEALTHCARE SERVICES, LLC.

MEDICARE: YOUR HEALTHCARE SERVICES, LLC.
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110006497OTHERTXAMERIGROUP
210968OTHERTXPARKLAND
3531315OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1639164718
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR HEALTHCARE SERVICES, LLC.
Provider Business Mailing Address
First Line : 4801 S BUCKNER BLVD
Second Line : SUITE 1300
City : DALLAS
State : TX
Zip : 75227-2373
Country : US
Telephone Number : 972-682-5999
Fax Number : 972-682-5699
Provider Business Practice Location Address
First Line : 4801 S BUCKNER BLVD
Second Line : SUITE 1300
City : DALLAS
State : TX
Zip : 75227-2373
Country : US
Telephone Number : 972-682-5999
Fax Number : 972-682-5699
Authorized Official
Title or Position : CEO
Name : MR. MILTON ADAMS MACKEY
Credential :
Telephone Number : 972-682-5999
Provider Enumeration Date : 09/15/2005
Last Update Date : 08/22/2020

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Directions to “YOUR HEALTHCARE SERVICES, LLC. ” Practice Location

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