| My Home Md Non Profit, Inc | |
|
630 N Highway 67 Ste 2 Cedar Hill TX 75104-2156 | |
| (214) 339-2221 | |
| (214) 432-1117 |
| Full Name | My Home Md Non Profit, Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 630 N Highway 67 Ste 2, Cedar Hill, Texas |
| Authorized Official Name and Position | Leigh Ann Tipping (CEO/SECRETARY) |
| Authorized Official Contact | 6824720161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Home Md Non Profit, Inc 105 E Oak St Ste 103 Mansfield TX 76063-7713 Ph: (682) 472-0161 | My Home Md Non Profit, Inc 630 N Highway 67 Ste 2 Cedar Hill TX 75104-2156 Ph: (214) 339-2221 |
| NPI Number | 1053788596 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053788596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | L2986 (Texas) | Primary |
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