# ADS DOCTORS HOME VISIT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164805974
- **Authorized official:** JOHN MELCHOR BRILLANTES CUA (OWNER)
- **Authorized official phone:** (972) 302-7642

## Contact information

- **Practice address:** 429 SHADY OAKS DR, MURPHY, TX 75094-4469
- **Practice address phone:** (518) 894-2473
- **Practice address fax:** (972) 509-8923
- **Mailing address:** 123 POST CREST DR, MURPHY, TX 75094
- **Mailing address phone:** (800) 778-9040
- **Mailing address fax:** (800) 445-8303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 05/21/2018
