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Contact Information

DOMICILLIARY SERVICE LLC
1513 VICEROY DR
DALLAS, TX75235-2303
 Phone: 469-685-7020
 Fax: 214-920-8446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for DOMICILLIARY SERVICE LLC · (Female)

NPI # 1710172093
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other DO1083 RAILROAD MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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