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Organization
RIDGEVIEW FAMILY CLINIC PLLC
Active
Organization
RIDGEVIEW FAMILY CLINIC PLLC
Active
Other names
Express Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES E GODFREY (OFFICE MANAGER)
(972) 672-4121
Entity
Organization
Contact information
Practice address
940 RIDGEVIEW DR STE 150, ALLEN, TX 75013-5544
(972) 672-4121
(972) 905-4690
Mailing address
940 RIDGEVIEW DR STE 150, ALLEN, TX 75013-5544
(972) 672-4121
(972) 905-4690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
M3680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367021801
—
TX
Enumeration date
04/28/2016
Last updated
08/09/2023
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