Organization Active NPI

Collin House Call Physician LLC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1437871761
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Habtom Legese Teweldebrahan, NPNPI 1881261584
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260602000106 TX Part B Supplier - Clinic/Group Practice 7517438401 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.