Provider Demographics
NPI:1962773093
Name:ADVANCED PRACTICE HOUSECALL SERVICES PLLC
Entity type:Organization
Organization Name:ADVANCED PRACTICE HOUSECALL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-489-0455
Mailing Address - Street 1:10813 PAISANO DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6178
Mailing Address - Country:US
Mailing Address - Phone:972-489-0455
Mailing Address - Fax:972-635-3572
Practice Address - Street 1:10813 PAISANO DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6178
Practice Address - Country:US
Practice Address - Phone:972-489-0455
Practice Address - Fax:972-635-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty