# MD HOUSECALLS GROUP

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

## Provider details

- **NPI number:** 1518306661
- **Authorized official:** MS. ALEMETA B BRADLEY CMC (PRESIDENT/COO)
- **Authorized official phone:** (469) 556-6061

## Contact information

- **Practice address:** 1805 WYLIE CREEK DR, DESOTO, TX 75115-1729
- **Practice address phone:** (866) 616-9334
- **Practice address fax:** (972) 230-1390
- **Mailing address:** PO BOX 321, CEDAR HILL, TX 75106-0321
- **Mailing address phone:** (866) 616-9334
- **Mailing address fax:** (972) 230-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164X00000X | Licensed Vocational Nurse | — | NULL | — |
| 164X00000X | Licensed Vocational Nurse | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/21/2013