Organization
NORTH TEXAS HOME VISITING PHYSICIANS & CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAC OKWAH MSSW (CEO)
(214) 453-0064
Entity
Organization
Contact information
Practice address
3225 INTERSTATE 30, SUITE H1, MESQUITE, TX 75150-2635
(214) 453-0064
(214) 453-0074
Mailing address
3225 INTERSTATE 30, SUITE H1, MESQUITE, TX 75150-2635
(214) 453-0064
(214) 453-0074
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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