Organization
HOMELY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM D'SOUZA (SECRETARY)
(443) 570-3397
Entity
Organization
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4600
(443) 570-3397
Mailing address
300 STATE ST UNIT 93861, SOUTHLAKE, TX 76092-1267
(443) 570-3397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N8638
TX
Other
Enumeration date
04/01/2013
Last updated
01/16/2018
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