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Organization
ATRIUM HOUSE CALL CLINIC, LLC
Active
Organization
ATRIUM HOUSE CALL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDEON AHANONU (PROVIDER)
(214) 564-8159
Entity
Organization
Contact information
Practice address
10729 AUDELIA RD STE 210, DALLAS, TX 75238-1000
(972) 270-1145
Mailing address
9550 FOREST LN STE 619, DALLAS, TX 75243-5905
(972) 439-5208
(214) 617-0503
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
02/17/2022
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