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Organization
JOHN F NIELSEN M D FAMILY MEDICINE PA
Active
Organization
JOHN F NIELSEN M D FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANCIS NIELSEN M.D (PRESIDENT)
(903) 694-4991
Entity
Organization
Contact information
Practice address
702 DAVIS ST STE 4, CARTHAGE, TX 75633-1461
(903) 694-4991
(903) 694-4995
Mailing address
702 DAVIS ST STE 4, CARTHAGE, TX 75633-1461
(903) 694-4991
(903) 694-4995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052JK
BLUE CROSS
TX
05
—
160376301
—
TX
Enumeration date
07/26/2007
Last updated
10/19/2010
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