| Compassionate Family Health Care, Llc | |
|
2727 Bolton Boone Dr Ste 110 Desoto TX 75115-2019 | |
| (972) 685-2494 | |
| (972) 739-2436 |
| Full Name | Compassionate Family Health Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2727 Bolton Boone Dr Ste 110, Desoto, Texas |
| Authorized Official Name and Position | Lamea Horton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9726852494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Family Health Care, Llc 2727 Bolton Boone Dr Ste 110 Desoto TX 75115-2019 Ph: (972) 685-2494 | Compassionate Family Health Care, Llc 2727 Bolton Boone Dr Ste 110 Desoto TX 75115-2019 Ph: (972) 685-2494 |
| NPI Number | 1033617899 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 2365704038 |
|---|---|
| Medicare Enrollment ID | O20180315002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033617899 | NPI | - | NPPES |
| 1588011894 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Lamea Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588011894 PECOS PAC ID: 9032490479 Enrollment ID: I20161227000707 |
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