HEPHZIBAH VISITING CLINICIANS

DESOTO, TX
NPI1083101075
Entity TypeOrganization
Authorized ContactSIMINIBE MONEKE
Managing Member
469-585-8129
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2018-04-16
Last Update Date2020-02-20
Business Address
HEPHZIBAH VISITING CLINICIANS
111 EXECUTIVE WAY STE 102
DESOTO, TX 75115-2388
Phone number: 469-941-4029
Mailing Address
HEPHZIBAH VISITING CLINICIANS
7268 PORTILLO
GRAND PRAIRIE, TX 75054-0073
Phone number: 469-585-8129
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