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Organization

MERCY HOUSECALL PHYSICIANS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EBERE ISRAEL AZUBUIKE MD (PRESIDENT AND CEO)
(214) 942-2377
Entity
Organization

Contact information

Practice address
501 WYNNRWOOD VILLAGE, STE 102A, DALLAS, TX 75224
(214) 942-2377
(214) 942-2977
Mailing address
501 WYNNRWOOD VILLAGE, STE102A, DALLAS, TX 75224
(214) 942-2377
(214) 942-2977

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
M9136
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M9136
LICENSE
TX
Enumeration date
04/03/2013
Last updated
04/03/2013
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