Organization Name: | DFW GERIATRICS PLLC |
NPI Number: | 1063835361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUMANA KETHA (OWNER) |
Mailing Address: | 2925 Skyway Cir N Irving |
State: | TX US |
Postal Code: | 750383510 |
Phone Number: | 9726395838 |
Fax Number: | 9727918211 |
NPI Enumeration Date: | 01/23/2014 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |