Organization
WILCARE DALLAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY HAI PHAM CEO (ADMINISTRATOR)
(817) 277-0210
Entity
Organization
Contact information
Practice address
624 MATLOCK CENTRE CIR. # A, ARLINGTON, TX 76015-6409
(817) 277-0210
(817) 277-1208
Mailing address
624 MATLOCK CENTRE CIR # A, ARLINGTON, TX 76015-2536
(817) 277-0210
(817) 277-1208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009253
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004408
—
TX
05
—
001014285
—
TX
Enumeration date
01/30/2007
Last updated
06/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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