| Family Practice House Calls Pa | |
|
11882 Greenville Ave Suite B100 Dallas TX 75243-0586 | |
| (214) 865-7331 | |
| (855) 237-5132 |
| Full Name | Family Practice House Calls Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11882 Greenville Ave, Dallas, Texas |
| Authorized Official Name and Position | Joe B Ventimiglia (OWNER) |
| Authorized Official Contact | 2148657331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice House Calls Pa 11882 Greenville Ave Suite B100 Dallas TX 75243-0586 Ph: (214) 865-7331 | Family Practice House Calls Pa 11882 Greenville Ave Suite B100 Dallas TX 75243-0586 Ph: (214) 865-7331 |
| NPI Number | 1003932492 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003932492 | NPI | - | NPPES |
| 179513001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K0231 (Texas) | Primary |
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