Personalized Healthcare Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERSONALIZED HEALTHCARE SERVICES LLC

Practice address

6309 N President George Bush Hwy Apt 9202
Garland, TX 75044-5542

Phone

(972) 697-5954

NPI assigned

May 17, 2024

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deitra L Lebouef, NP

Title

Owner

Phone

(972) 697-5954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1679322820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 N PRESIDENT GEORGE BUSH HWY APT 9202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445542",
            "telephone_number": "972-697-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 N PRESIDENT GEORGE BUSH HWY APT 9202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445542",
            "telephone_number": "972-697-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "LEBOUEF",
        "authorized_official_first_name": "DEITRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-697-5954",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altreda Lanise Perkins, LCSW
• Bettye Jane Perkins, M.S., LPC - I
• Lindy Machell Perkins, ED.D
• Dirk Perritt, MD
• Donna I. Persaud, MD
• Alecia Zsaneen Peters, LCSW
• Donna Gay Peters, RN, FNP-C
• Hayley Deis Peters, FNP-C
• Paula Jan Peters, COTA
• Theresa N. Peters, FNP

• Family Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.