NPI 1104174259

Oneononecaresitter

Organisation Preferred Provider Organization Richardson, TX

Practice location

Address: 618 Northill Dr, Richardson, TX 75080-5112
Phone: (972) 977-0311

Authorised official

Name: Dedra Kay Maxey
Title: Owner
Phone: (972) 977-0311

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Texas →

Registry record

NPI: 1104174259
Entity type: Organization
NPI issued: 21 Aug 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.