Provider Demographics
NPI:1306610639
Name:PROCARE HOUSECALLS INC
Entity type:Organization
Organization Name:PROCARE HOUSECALLS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CORIA MERLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-904-5230
Mailing Address - Street 1:8508 SIKORSKI LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5447
Mailing Address - Country:US
Mailing Address - Phone:972-904-5230
Mailing Address - Fax:
Practice Address - Street 1:8508 SIKORSKI LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5447
Practice Address - Country:US
Practice Address - Phone:972-904-5230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty