# HOUSE CALL MD LLC

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

## Provider details

- **NPI number:** 1356593065
- **Authorized official:** DR. TED W FAULL M.D. (SOLE MEMBER)
- **Authorized official phone:** (330) 272-9840

## Contact information

- **Practice address:** 150 OVERHILL RD, YOUNGSTOWN, OH 44512-1455
- **Practice address phone:** (330) 272-9840
- **Practice address fax:** (330) 423-0421
- **Mailing address:** PO BOX 14397, YOUNGSTOWN, OH 44514-7397
- **Mailing address phone:** (330) 758-2775
- **Mailing address fax:** (330) 758-2787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35.091967 | OH | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 02/22/2011
