| NPI | 1003608662 |
|---|---|
| Former Legal Business Name | EMMANUEL HEALTHCARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA EBEN Director 469-567-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |