Organization
MD HOUSECALLS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEMETA B BRADLEY CMC (PRESIDENT/COO)
(469) 556-6061
Entity
Organization
Contact information
Practice address
1805 WYLIE CREEK DR, DESOTO, TX 75115-1729
(866) 616-9334
(972) 230-1390
Mailing address
PO BOX 321, CEDAR HILL, TX 75106-0321
(866) 616-9334
(972) 230-1390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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