| Boomer House Calls Pllc | |
|
5560 Gadwall Dr Frisco TX 75034-5064 | |
| (817) 808-5180 | |
| Not Available |
| Full Name | Boomer House Calls Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5560 Gadwall Dr, Frisco, Texas |
| Authorized Official Name and Position | Shawn Chamberlain (OWNER/MEMBER) |
| Authorized Official Contact | 4694086701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boomer House Calls Pllc 5560 Gadwall Dr Frisco TX 75034-5064 Ph: () - | Boomer House Calls Pllc 5560 Gadwall Dr Frisco TX 75034-5064 Ph: (817) 808-5180 |
| NPI Number | 1982962957 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982962957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J7118 (Texas) | Primary |
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