Organization
FRONTIER MEDICAL HOUSE CALL SERVICE LLC
Active
Organization
FRONTIER MEDICAL HOUSE CALL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLASIMBO ODUTAYO NP (OWNER)
(817) 729-4296
Entity
Organization
Contact information
Practice address
308 AUTUMN PARK, FORT WORTH, TX 76140
(682) 552-3574
(800) 460-1764
Mailing address
308 AUTUMN PARK, FORT WORTH, TX 76140-6524
(800) 460-1764
(800) 467-8597
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP131147
TX
Other
Enumeration date
05/23/2018
Last updated
07/13/2018
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