Active NPI
Collin House Call Physician LLC
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COLLIN HOUSE CALL PHYSICIAN LLC
- Practice address
- 9550 Forest LN Ste 745
Dallas, TX 75243-5905 - Phone
- (469) 238-4774
- NPI assigned
- Sep 14, 2022
- Last updated
- Apr 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Habtom Legese Teweldebrahan, NP
- Title
- Member and Manager
- Phone
- (469) 238-4774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9550 Forest LN Ste 745
Dallas, TX 75243-5905
Mailing address
PO Box 743842
Dallas, TX 75374-3842
Phone (469) 238-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
630 N Bishop Ave
Dallas, TX 75208
Phone (214) 942-5673
9550 Forest Ln
Ste 745
Dallas, TX 75243
Phone (469) 238-4774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1881261584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776470400000",
"number": "1437871761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743842",
"city": "DALLAS",
"state": "TX",
"postal_code": "753743842",
"telephone_number": "469-238-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 FOREST LN STE 745",
"city": "DALLAS",
"state": "TX",
"postal_code": "752435905",
"telephone_number": "469-238-4774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLIN HOUSE CALL PHYSICIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-14",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A",
"authorized_official_last_name": "TEWELDEBRAHAN",
"authorized_official_first_name": "HABTOM",
"authorized_official_middle_name": "LEGESE",
"authorized_official_title_or_position": "MEMBER AND MANAGER",
"authorized_official_telephone_number": "469-238-4774",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Paul Alan Collier, RRT
- Collier's Therapy, Coaching & Consulting GRP, LLC
- Collin County Pain Management, LLC
- Collin County Pediatrics, P.a.
- Collin Hagood, LPC
- Mary L Collings, D.C.
- Lisa Marie Collingwood, PHD
- Collins Counseling Center
- Collins Psychotherapy, PLLC
- Luisa Angeles Collins Villares, APRN,FNP-C, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.