MODERN MEDICAL HOUSE CALLS PLLC (NPI# 1043635931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043635931 |
| Entity Type | Organization |
| Organization Name | MODERN MEDICAL HOUSE CALLS PLLC |
| Practice Address |
855 Davis Blvd Ste 500 Southlake TX 76092-8218 |
| Practice Telephone | 8179121771 |
| Practice Fax Number | 9402416156 |
| Mailing Telephone | 8184297860 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | MR. SALIM DAMJI (OWNER) |
| Authorized Official Telephone | 8184297860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
855 DAVIS BLVD STE 500 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978569 | Laura Nasrallah | Nurse Practitioner | 855 Davis Blvd Ste 500, Southlake, TX 76092-8218 | 2020-09-24 |
| 1407467624 | Kimberley Kay Mullens | Nurse Practitioner | 855 Davis Blvd Ste 500, Southlake, TX 76092-8218 | 2020-08-11 |
| 1205458908 | Wound Care At Home Pllc | Internal Medicine | 855 Davis Blvd Ste 500, Southlake, TX 76092-8218 | 2020-05-15 |
| 1669014437 | Nikitha Alice Cherian | Nurse Practitioner | 855 Davis Blvd Ste 500, Southlake, TX 76092-8218 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982097382 | Mediclinkmd One-p LLC | General Practice | 415 E Southlake Blvd, Suite 100, Southlake, TX 76092-6250 | 2015-03-09 |
| 1477928273 | Texas Integrated Healthcare Solutions Pllc | General Practice | 100 W Southlake Blvd, Southlake, TX 76092-6100 | 2015-12-04 |
| 1851796932 | Elite Wellness and Weight Loss | General Practice | 100 W Southlake Blvd, Ste 180, Southlake, TX 76092-6100 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577392 | Best Americare Visiting Doctors, Inc. | General Practice | 13601 Preston Rd Ste 706w, Dallas, TX 75240-5361 | 2020-10-30 |
| 1659978401 | Instaclinic, LLC | General Practice | 7008 Quartermile Ln, Dallas, TX 75248-1448 | 2020-10-05 |
| 1649887068 | Online Care Group Texas P.a. | General Practice | 6213 County Road 308, Rosharon, TX 77583-6321 | 2020-09-29 |
| 1689288342 | Nortex Medical Group | General Practice | 981 State Highway 121 Ste 4150, Allen, TX 75013 | 2020-09-01 |
| 1518577485 | Advanced Lifestyle Solutions Pllc | General Practice | 9560 Legacy Dr Ste 260, Frisco, TX 75033-6753 | 2020-08-05 |
| 1023627569 | Shepcole, Inc. | General Practice | 1431 Greenway Dr Ste 8000, Irving, TX 75038-2448 | 2020-07-30 |
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MODERN MEDICAL HOUSE CALLS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.