Dieseru Healthcare Services LLC.
Organization Active NPI Personal Care Attendant · Forth Worth, TX
NPI 1740830645 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1740830645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Legal business name
- DIESERU HEALTHCARE SERVICES LLC.
- Practice address
- 2325 Woodmont Trail
Forth Worth, TX 76133 - Phone
- (682) 360-1115
- NPI assigned
- Sep 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Jacob Dieseru
- Title
- Administrator/Owner
- Phone
- (682) 360-1115
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant |
3747P1801X | Yes |
Addresses
Primary practice location
2325 Woodmont Trail
Forth Worth, TX 76133
Mailing address
2325 Woodmont Trail
Forth Worth, TX 76133
Phone (682) 360-1115
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- Valerie Leigh Johnston
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- Thu Anh Nguyen-Tran
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All providers in Forth Worth, TX · Personal Care Attendant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.