Organization Name: | ADS DOCTORS HOME VISIT, PLLC |
NPI Number: | 1164805974 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARNEL D SEVILLO (OWNER) |
Mailing Address: | 429 Shady Oaks Dr Murphy |
State: | TX US |
Postal Code: | 750944469 |
Phone Number: | 5188942473 |
Fax Number: | 9725098923 |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |