Organization
COLLIN HOUSE CALL PHYSICIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABTOM LEGESE TEWELDEBRAHAN NP (MEMBER AND MANAGER)
(469) 238-4774
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 745, DALLAS, TX 75243-5905
(469) 238-4774
Mailing address
PO BOX 743842, DALLAS, TX 75374-3842
(469) 238-4774
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
04/18/2026
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