Organization Active NPI

North Texas Home Visiting Physicians & Clinic

  • Clinic/Center
  • Mesquite, TX
National Provider Identifier
1245560069
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTH TEXAS HOME VISITING PHYSICIANS & CLINIC
Practice address
3225 Interstate 30
Suite H1
Mesquite, TX 75150-2635
Phone
(214) 453-0064
Fax
(214) 453-0074
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mac Okwah, MSSW
Title
Ceo
Phone
(214) 453-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3225 Interstate 30
Suite H1
Mesquite, TX 75150-2635

Mailing address

3225 Interstate 30
Suite H1
Mesquite, TX 75150-2635
Phone (214) 453-0064

National Provider Directory

National Provider Directory

Locations

2306 Guthrie Rd
Ste 250
Garland, TX 75043
Phone (214) 453-0064

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1245560069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 INTERSTATE 30",
            "address_2": "SUITE H1",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502635",
            "telephone_number": "214-453-0064",
            "fax_number": "214-453-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 INTERSTATE 30",
            "address_2": "SUITE H1",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502635",
            "telephone_number": "214-453-0064",
            "fax_number": "214-453-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS HOME VISITING PHYSICIANS & CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "OKWAH",
        "authorized_official_first_name": "MAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-453-0064",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.