Organization
DALLAS METRO PROFESSIONAL HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON A ODUEZE (ADMINISTRATOR)
(214) 905-9681
Entity
Organization
Contact information
Practice address
5415 MAPLE AVE, SUITE 217, DALLAS, TX 75235-7432
(214) 905-9681
(214) 905-9164
Mailing address
5415 MAPLE AVE, SUITE 217, DALLAS, TX 75235-7432
(214) 905-9681
(214) 905-9164
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009740
TX
Other
Enumeration date
10/24/2006
Last updated
06/23/2008
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