Organization
CHRISTIAN CARE HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WEBSTER (PARTNER / DIRECTOR OF MARKETING)
(817) 629-2258
Entity
Organization
Contact information
Practice address
135 TREETOP DR, FORT WORTH, TX 76126-5587
(817) 372-9200
Mailing address
PO BOX 761, ALEDO, TX 76008-0761
(817) 372-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P2012
TX
363LF0000X
Family Nurse Practitioner
617313
TX
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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