| Epiphany Home Visiting Physicians | |
|
505 Exchange Pkwy Apt 2304 Allen TX 75002-1752 | |
| (214) 725-9559 | |
| Not Available |
| Full Name | Epiphany Home Visiting Physicians |
|---|---|
| Speciality | General Practice |
| Location | 505 Exchange Pkwy Apt 2304, Allen, Texas |
| Authorized Official Name and Position | Lita S. Dejesus (SECRETARY) |
| Authorized Official Contact | 2147259559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Home Visiting Physicians 505 Exchange Pkwy, #2304 Allen TX 75002-1752 Ph: (214) 725-9559 | Epiphany Home Visiting Physicians 505 Exchange Pkwy Apt 2304 Allen TX 75002-1752 Ph: (214) 725-9559 |
| NPI Number | 1285071035 |
|---|---|
| Provider Enumeration Date | 06/03/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285071035 | NPI | - | NPPES |
| 303363 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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