Organization
MEDI-DIRECT HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHALIA JACKSON BUTLER NP (CO-CEO/FOUNDER)
(214) 277-2243
Entity
Organization
Contact information
Practice address
9540 GARLAND RD, STE. 381-422, DALLAS, TX 75218-5004
(214) 277-2243
(214) 231-2926
Mailing address
9540 GARLAND RD STE 381-422, DALLAS, TX 75218-5004
(214) 865-6389
(214) 865-6389
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
715590
TX
Other
Enumeration date
11/03/2013
Last updated
07/24/2014
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