MERCY HOUSECALL PHYSICIANS GROUP, LLC (NPI# 1326381880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326381880 |
| Entity Type | Organization |
| Organization Name | MERCY HOUSECALL PHYSICIANS GROUP, LLC |
| Practice Address |
501 Wynnrwood Village Ste 102a Dallas TX 75224 |
| Mailing Address |
501 Wynnrwood Village Ste102a Dallas TX 75224 |
| Practice Telephone | 2149422377 |
| Practice Fax Number | 2149422977 |
| Mailing Telephone | 2149422377 |
| Mailing Fax Number | 2149422977 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | EBERE ISRAEL AZUBUIKE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2149422377 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
M9136 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | M9136 | 01 |
| Street Address |
501 WYNNRWOOD VILLAGE STE 102A |
| City | DALLAS |
| State | TX |
| Zip Code | 75224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| 1346527983 | Familia Care Inc. | Pharmacy | 655 W. Illinois Avenue, Building 900, Suite 916/918, Dallas, TX 75224 | 2011-11-10 |
| Find all providers in zip 75224 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1093277071 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 208 S Akard St Ste PC-50, Dallas, TX 75202-4206 | 2019-04-01 |
| 1932660636 | 365 Health, Pllc | Clinic/Center | 6060 N Central Expy Ste 424, Dallas, TX 75206-5298 | 2019-03-26 |
| 1083173652 | Prime Care Health Solutions LLC | Clinic/Center | 13601 Preston Rd Ste 520, Dallas, TX 75240-4911 | 2019-03-13 |
| 1104390533 | Finding Home Healthcare, Inc. | Clinic/Center | 6606 Lbj Fwy Ste 110, Dallas, TX 75240-6552 | 2019-01-18 |
| 1730669805 | His Sacred Path Midwifery | Clinic/Center | 350 N Saint Paul St Apt 2610, Dallas, TX 75201-4224 | 2018-08-17 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1689181455 | Asb Doctors Alliance Inc | Clinic/Center | 10935 Estate Ln Ste S106, Dallas, TX 75238-2316 | 2018-01-03 |
| 1154833317 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 2001 Ross Ave Ste 2800, Dallas, TX 75201-2930 | 2017-10-27 |
| Find all providers in DALLAS | ||||
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| 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.