Organization
EMPLOYER DIRECT HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ROSTENKOWSKI (CHIEF OPERATING OFFICER)
(972) 590-1706
Entity
Organization
Contact information
Practice address
2100 ROSS AVE STE 550, DALLAS, TX 75201-2739
(855) 290-2999
Mailing address
2100 ROSS AVE STE 550, DALLAS, TX 75201-2739
(855) 290-2999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
11/15/2016
Last updated
07/12/2019
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