Eagle Mountain Healthcare Llc

LBN: Eagle Mountain Healthcare Llc
Eagle Mountain Healthcare Llc is an health care organization with primary practice located at 807 Southeast Pkwy , Azle TX 76020-3658. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Eagle Mountain Healthcare Llc can be contacted via phone (817) 661-8197, or through Grayson, Heather via phone (817) 661-8197.

Contact Information

Primary practice address
807 Southeast Pkwy Azle TX 76020-3658
Phone: (817) 661-8197
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grayson, Heather AGNP
Phone: (817) 661-8197

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1508563578
LBN Legal business name Eagle Mountain Healthcare Llc
DBA Doing business as
Authorized official Grayson, Heather AGNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2023
Last updated Sep 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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