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Organization

WAHOO HOUSE CALLS, LLC

Active
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Organization

WAHOO HOUSE CALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN L CHAMBERLAIN PAC (CEO)
(817) 808-5180
Entity
Organization

Contact information

Practice address
1615 BABBLING BROOK DR, GRAND PRAIRIE, TX 75050-8317
(817) 808-5180
(972) 606-2820
Mailing address
1615 BABBLING BROOK DR, GRAND PRAIRIE, TX 75050-8317
(817) 808-5180
(972) 606-2820

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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