Organization Active NPI

Healthcare Liaison Professionals, Inc

  • Health Maintenance Organization
  • Dallas, TX
National Provider Identifier
1780823054
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HEALTHCARE LIAISON PROFESSIONALS, INC
Doing business as
US PHYSICIAN HOME VISITS
Practice address
1513 Viceroy Dr
Suite
Dallas, TX 75235-2303
Phone
(214) 244-9114
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Mr. Noble Ezukanma, M.D.
Title
President
Phone
(469) 595-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1513 Viceroy Dr
Suite
Dallas, TX 75235-2303

Mailing address

1513 Viceroy Dr
Suite 101
Dallas, TX 75235-2303
Phone (214) 244-9114

Other names 1

  • US PHYSICIAN HOME VISITS Doing business as

National Provider Directory

National Provider Directory

Locations

1513 Viceroy Dr
Ste 101
Dallas, TX 75235
Phone (214) 920-9776

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1780823054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VICEROY DR",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352303",
            "telephone_number": "214-244-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VICEROY DR",
            "address_2": "SUITE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352303",
            "telephone_number": "214-244-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE LIAISON PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "EZUKANMA",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-595-4730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US PHYSICIAN HOME VISITS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2012; 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.