Organization
EXTENDED MEDICAL MANAGEMENT SERVICES, INC.
Active
Other names
HomeCare Doctors of America-Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK L BOWMAN SR. (PRESIDENT)
(469) 330-2444
Entity
Organization
Contact information
Practice address
13140 COIT RD, SUITE 212, DALLAS, TX 75240-5755
(469) 330-2444
(469) 330-2396
Mailing address
13140 COIT RD, SUITE 212, DALLAS, TX 75240-5755
(469) 330-2444
(469) 330-2396
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M2309
TX
363LG0600X
Gerontology Nurse Practitioner
506447
TX
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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