Provider Demographics
NPI:1902089329
Name:HOUSECALL PRACTITIONERS, INC.
Entity Type:Organization
Organization Name:HOUSECALL PRACTITIONERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CFNP
Authorized Official - Phone:903-739-2424
Mailing Address - Street 1:137 COUNTY ROAD 42200
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-1400
Mailing Address - Country:US
Mailing Address - Phone:903-739-2424
Mailing Address - Fax:903-739-2828
Practice Address - Street 1:137 COUNTY ROAD 42200
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-1400
Practice Address - Country:US
Practice Address - Phone:903-739-2424
Practice Address - Fax:903-739-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ53731Medicare UPIN