Provider Demographics
NPI:1992395396
Name:NORTH TEXAS HOUSE CALL LLC
Entity type:Organization
Organization Name:NORTH TEXAS HOUSE CALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:GISELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WIRLEN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:469-756-1171
Mailing Address - Street 1:26919 E UNIVERSITY DR
Mailing Address - Street 2:#200
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-7804
Mailing Address - Country:US
Mailing Address - Phone:469-338-7090
Mailing Address - Fax:
Practice Address - Street 1:26919 E UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-7804
Practice Address - Country:US
Practice Address - Phone:469-338-7090
Practice Address - Fax:469-519-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty