Provider Demographics
NPI:1053936856
Name:ABSOLUTE PRIMARY CARE HOUSE CALLS LLC
Entity type:Organization
Organization Name:ABSOLUTE PRIMARY CARE HOUSE CALLS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LOTTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN FNP-C
Authorized Official - Phone:972-666-9200
Mailing Address - Street 1:1925 E BELT LINE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-5826
Mailing Address - Country:US
Mailing Address - Phone:972-666-9200
Mailing Address - Fax:469-900-8090
Practice Address - Street 1:1925 E BELT LINE RD STE 208
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5826
Practice Address - Country:US
Practice Address - Phone:972-666-9200
Practice Address - Fax:469-900-8090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SASOSA PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-08
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty