Organization
HOMEHEAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM RAZA MD (OWNER)
(214) 286-6565
Entity
Organization
Contact information
Practice address
559 E OVILLA RD, RED OAK, TX 75154-3505
(214) 286-6565
(817) 533-6015
Mailing address
PO BOX 678290, DALLAS, TX 75267-8290
(214) 286-6565
(817) 533-6015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/12/2020
Last updated
03/04/2026
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