Camacho, Juan

Camacho, Juan is an sole proprietor health care provider with primary practice located at 17740 Preston Rd Ste 100C , Dallas TX 75252-5827. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Camacho, Juan can be contacted via phone (469) 623-7100.

Contact Information

Primary practice address
17740 Preston Rd Ste 100C Dallas TX 75252-5827
Phone: (469) 623-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1417554890
LBN Legal business name Camacho, Juan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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