Dfw Medical Home Pllc

NPI #1124441423 in Irving, Texas

Provider Information

NPI Number: 1124441423
Entity Type: Organization
Organization Name: Dfw Medical Home Pllc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 23, 2014
Last Updated: Feb 4, 2020

Practice Location

Address: 2925 SKYWAY CIR N
City: Irving
State: Texas
ZIP Code: 75038-3510
Phone: (972) 675-7313

Authorized Official

Name: DR. SUMANA KETHA, MD
Title: OWNER
Phone: (972) 639-5838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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