| American Housecall, Llc | |
|
5050 Quorum Dr Ste 700 Dallas TX 75254-1410 | |
| (214) 909-9120 | |
| Not Available |
| Full Name | American Housecall, Llc |
|---|---|
| Speciality | General Practice |
| Location | 5050 Quorum Dr Ste 700, Dallas, Texas |
| Authorized Official Name and Position | Edgardo Melendez Santiago (MANAGING DIRECTOR) |
| Authorized Official Contact | 2149099120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Housecall, Llc 5050 Quorum Dr Ste 700 Dallas TX 75254-1410 Ph: (214) 909-9120 | American Housecall, Llc 5050 Quorum Dr Ste 700 Dallas TX 75254-1410 Ph: (214) 909-9120 |
| NPI Number | 1154178036 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 05/11/2024 |
| Medicare PECOS PAC ID | 8527500198 |
|---|---|
| Medicare Enrollment ID | O20240611001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154178036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rosie Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669694469 PECOS PAC ID: 1355333261 Enrollment ID: I20120917000630 |
| Provider Name | Beauford Basped |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851431035 PECOS PAC ID: 7214187525 Enrollment ID: I20121023000304 |
| Provider Name | Youngsun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750992327 PECOS PAC ID: 4587063813 Enrollment ID: I20210519000295 |
| Provider Name | Angela Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164060554 PECOS PAC ID: 1759717598 Enrollment ID: I20230315002396 |
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