Provider Demographics
NPI:1487169538
Name:ML HEALTH SOLUTIONS, PLLC
Entity type:Organization
Organization Name:ML HEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENDALL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:NORHTCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:903-372-4112
Mailing Address - Street 1:15180 COUNTY ROAD 1113
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-9537
Mailing Address - Country:US
Mailing Address - Phone:903-372-4112
Mailing Address - Fax:
Practice Address - Street 1:107 STACY DRIVE
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791
Practice Address - Country:US
Practice Address - Phone:903-372-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ML HEALTH SOLUTIONS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty