Organization
MORA'S HOME CARE, INC.
Active
Other names
Mora's Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HALIMA PATRICIA MORA (ADMINISTRATOR)
(972) 658-6756
Entity
Organization
Contact information
Practice address
3228 SOUTHERN DR STE 204, GARLAND, TX 75043-1579
(972) 658-6756
Mailing address
3228 SOUTHERN DR STE 204, GARLAND, TX 75043-1579
(972) 658-6756
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2014606
CLIA WAIVER
TX
Enumeration date
03/28/2022
Last updated
03/28/2022
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