ATRIUM HOUSE CALL CLINIC, LLC


Address: 10729 Audelia Rd Ste 210, Dallas, TX 75238-1000
Phone: 9722701145

ATRIUM HOUSE CALL CLINIC, LLC (NPI# 1659914539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659914539
Entity Type Organization
Organization Name ATRIUM HOUSE CALL CLINIC, LLC
Practice Address 10729 Audelia Rd Ste 210
Dallas
TX 75238-1000
Practice Telephone 9722701145
Mailing Telephone 9722711145
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Authorized Official Name GIDEON AHANONU (PROVIDER)
Authorized Official Telephone 2145648159
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10729 AUDELIA RD STE 210
City DALLAS
State TX
Zip Code 75238-1000

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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
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1811967417 Shawn D. Dowe Nurse Practitioner 25615 Us Highway 281 N Ste 250, San Antonio, TX 78258 2006-01-25
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1003284472 Marie L Neba Nurse Practitioner 14226 Ashmore Reef Ct, Sugar Land, TX 77498-7598 2015-09-02
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Competitor

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City DALLAS
Zip Code 75238

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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