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Organization
SOUTHWEST FAMILY MEDICAL CLINIC
Active
Organization
SOUTHWEST FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYAPRAKASH NARAYANA MD (PHYSICIAN)
(972) 709-2828
Entity
Organization
Contact information
Practice address
1815 N HAMPTON RD, DESOTO, TX 75115-2327
(972) 709-2828
Mailing address
1815 N HAMPTON RD, DESOTO, TX 75115-2327
(972) 709-2828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6617
TX
207R00000X
Internal Medicine Physician
J6617
TX
Other
Enumeration date
11/11/2009
Last updated
07/22/2010
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