Organization
1ST TOTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER EBERE (ADMINISTRATOR)
(469) 831-1960
Entity
Organization
Contact information
Practice address
3333 KNOLLCREST LN, MESQUITE, TX 75181-2938
(469) 831-1960
(972) 222-6658
Mailing address
3333 KNOLLCREST LN, MESQUITE, TX 75181-2938
(469) 831-1960
(972) 222-6658
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008499
LICENSED CERTIFIED HHS
TX
Enumeration date
06/10/2006
Last updated
09/26/2012
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