Organization
MEDICAL ENVISION,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PASCUAL SRIVASTAVA MD (MEDICAL DIRECTOR)
(972) 495-6929
Entity
Organization
Contact information
Practice address
5001 WILLIFORD RD, SACHSE, TX 75048
(972) 495-6929
Mailing address
5001 WILLIFORD RD, SACHSE, TX 75048-3378
(214) 934-0768
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
G0869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G0869
—
TX
Enumeration date
07/16/2018
Last updated
07/16/2018
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