Medical Housecalls of Dallas, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PA05410 Issued in TX

Legal business name

MEDICAL HOUSECALLS OF DALLAS, LLC

Practice address

687 E Royal LN
2109
Irving, TX 75039-3630

Phone

(214) 385-4665

Fax

(972) 499-0034

NPI assigned

Sep 18, 2010

Organization subpart

No

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

Authorized official

Name

Espiridion Mendez, MPAS, PA-C

Title

Owner/Physician Assistant

Phone

(214) 385-4665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284768000000",
    "number": "1801104377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 E ROYAL LN",
            "address_2": "2109",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393630",
            "telephone_number": "214-385-4665",
            "fax_number": "972-499-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 E ROYAL LN",
            "address_2": "2109",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393630",
            "telephone_number": "214-385-4665",
            "fax_number": "972-499-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSECALLS OF DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-18",
        "last_updated": "2010-09-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ESPIRIDION",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "214-385-4665",
        "authorized_official_credential": "MPAS, PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "PA05410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; 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.