Boomer House Calls Pllc

NPI #1982962957 in Frisco, Texas

Provider Information

NPI Number: 1982962957
Entity Type: Organization
Organization Name: Boomer House Calls Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 27, 2012
Last Updated: Mar 12, 2015

Practice Location

Address: 5560 GADWALL DR
City: Frisco
State: Texas
ZIP Code: 75034-5064
Phone: (817) 808-5180

Authorized Official

Name: SHAWN CHAMBERLAIN, PA-C
Title: OWNER/MEMBER
Phone: (469) 408-6701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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