Organization
DAY HOME VISITS MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO DAY (OWNER)
(972) 566-6764
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
(972) 616-4932
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2571
(214) 616-4932
(877) 489-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00040A0AM6
—
TX
Enumeration date
11/08/2015
Last updated
02/03/2016
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