Organization
MY HOME DFW MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH A TIPPING (PRESIDENT)
(682) 472-0161
Entity
Organization
Contact information
Practice address
630 N HIGHWAY 67, CEDAR HILL, TX 75104-2156
(214) 339-2221
(214) 432-1117
Mailing address
630 N HIGHWAY 67 STE 2, CEDAR HILL, TX 75104-2156
(214) 339-2221
(214) 432-1117
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
09/02/2015
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