Provider Demographics
NPI:1396082038
Name:HISEL HOME VISITS LLC
Entity type:Organization
Organization Name:HISEL HOME VISITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HISEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-325-6831
Mailing Address - Street 1:1515 HERITAGE DR STE 110
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3379
Mailing Address - Country:US
Mailing Address - Phone:844-633-4663
Mailing Address - Fax:855-814-8428
Practice Address - Street 1:101 HOLY HILL RD
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-9999
Practice Address - Country:US
Practice Address - Phone:844-633-4663
Practice Address - Fax:855-814-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty