# OMNI HOUSECALLS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Housecalls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013964675
- **Authorized official:** MR. RICHARD STEPHENSON (PRESIDENT)
- **Authorized official phone:** (469) 446-0524

## Contact information

- **Practice address:** 2080 N STATE HIGHWAY 360, SUITE 370, GRAND PRAIRIE, TX 75050-1493
- **Practice address phone:** (972) 206-0347
- **Practice address fax:** (972) 206-0365
- **Mailing address:** 2080 N STATE HIGHWAY 360, SUITE 370, GRAND PRAIRIE, TX 75050-1493
- **Mailing address phone:** (972) 206-0347
- **Mailing address fax:** (972) 206-0365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 07/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0043NN | BCBS | TX |
| 05 | — | 179190701 | — | TX |
| 01 | — | DE4339 | RR MEDICARE | TX |