Organization Name: | TEXAS FIRST HOUSECALL ASSOCIATES INC |
NPI Number: | 1063758050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZAINABU KOROMA (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 3201 Interstate 30 Suite H Mesquite |
State: | TX US |
Postal Code: | 751502605 |
Phone Number: | 9726777564 |
Fax Number: | 9726777419 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |