Organization
MERCY HOUSECALL PHYSICIANS GROUP, LLC
Active
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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