Provider Demographics
NPI:1366122749
Name:WHITE COAT HOUSE CALLS, PLLC
Entity type:Organization
Organization Name:WHITE COAT HOUSE CALLS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORRESA
Authorized Official - Middle Name:MAELYN
Authorized Official - Last Name:BAIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:903-335-5900
Mailing Address - Street 1:162 OAK HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-9705
Mailing Address - Country:US
Mailing Address - Phone:903-335-5900
Mailing Address - Fax:903-765-7723
Practice Address - Street 1:158 OAK HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-9705
Practice Address - Country:US
Practice Address - Phone:903-335-5900
Practice Address - Fax:903-765-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty