Provider Demographics
NPI:1487434007
Name:GUARDIAN ANGEL HOUSE CALL LLC
Entity type:Organization
Organization Name:GUARDIAN ANGEL HOUSE CALL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-558-5993
Mailing Address - Street 1:1221 W AIRPORT FWY STE 209
Mailing Address - Street 2:UNIT B
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6209
Mailing Address - Country:US
Mailing Address - Phone:682-558-5993
Mailing Address - Fax:
Practice Address - Street 1:1221 W AIRPORT FWY STE 209
Practice Address - Street 2:UNIT B
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6209
Practice Address - Country:US
Practice Address - Phone:682-558-5993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty