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

General Provider Information

NPI Number	:	1881555324
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	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-8181
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 ROCKBROOK DR
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-8181
Country	:	US
Telephone Number	:	972-537-7511
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS REBECCA ETTA
Credential	:
Telephone Number	:	972-537-7511

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “PROHEALTH HOUSE CALLS SERVICES INC ” Practice Location

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