Dfw Lao Heritage

NPI #1326664905 in Mckinney, Texas

Provider Information

NPI Number: 1326664905
Entity Type: Organization
Organization Name: Dfw Lao Heritage
Primary Specialty: Home Health
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 10716 GALVESTON PL
City: Mckinney
State: Texas
ZIP Code: 75071-1360
Phone: (972) 689-8212

Authorized Official

Name: PETER SOUTHIDARA
Title: EXECUTIVE DIRECTOR
Phone: (972) 689-8212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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