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NPI Code Detail

MEDICARE: C&E HOUSECALL LLC

MEDICARE: C&E HOUSECALL 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1811345994
Entity Type Code : Organization
Provider Name (Legal Business Name) : C&E HOUSECALL LLC
Provider Business Mailing Address
First Line : PO BOX 1738
Second Line :
City : WYLIE
State : TX
Zip : 75098-1738
Country : US
Telephone Number : 347-210-1143
Fax Number :
Provider Business Practice Location Address
First Line : 5700 TENNYSON PKWY STE 300
Second Line :
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 972-784-4031
Fax Number : 972-784-4032
Authorized Official
Title or Position : MEMBER
Name : EDITH OJINNAKA
Credential :
Telephone Number : 347-210-1143
Provider Enumeration Date : 05/30/2016
Last Update Date : 04/23/2024

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Directions to “C&E HOUSECALL LLC ” Practice Location

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