Organization Name: | ALL CARE HEALTH CLINICS LLC |
NPI Number: | 1164811964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESA G ANSELL (OWNER) |
Mailing Address: | 103 E Belt Line Rd Ste. G Cedar Hill |
State: | TX US |
Postal Code: | 751042274 |
Phone Number: | 9722911992 |
Fax Number: | 9722911163 |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |