MAGNOLIA HOUSE CALLS LLC


Address: 202 Fisherman Trail, Melissa, TX 75454
Phone: 4696674787

MAGNOLIA HOUSE CALLS LLC (NPI# 1386279206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386279206
Entity Type Organization
Organization Name MAGNOLIA HOUSE CALLS LLC
Practice Address 202 Fisherman Trail
Melissa
TX 75454
Practice Telephone 4696674787
Mailing Telephone 4696674787
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Authorized Official Name SHERRY L MARTIN (ADMINISTER)
Authorized Official Telephone 4696674787
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 202 FISHERMAN TRAIL
City MELISSA
State TX
Zip Code 75454

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1497963698 Anthony Alexis Vallarino Family Medicine 3080 Sam Rayburn Highway, Melissa, TX 75454 2007-05-19
1134631542 Jaime Gamboa Nurse Practitioner 3591 Mckinney St Ste 400, Melissa, TX 75454 2017-10-26
1528437316 Jennifer Kristin Slater Nurse Practitioner 3591 Mckinney St, 200, Melissa, TX 75454 2015-09-22
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City MELISSA
Zip Code 75454

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Dataset Information

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.

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