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Organization
NORTH CENTRAL TEXAS FAMILY MEDICINE PA
Active
Organization
NORTH CENTRAL TEXAS FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D SWAIN MD (PRESIDENT)
(940) 626-4475
Entity
Organization
Contact information
Practice address
800 MEDICAL CENTER DR, SUITE C, DECATUR, TX 76234-3843
(940) 626-4475
(940) 626-4447
Mailing address
800 MEDICAL CENTER DR, SUITE C, DECATUR, TX 76234-3843
(940) 626-4475
(940) 626-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055KD
BCBS
TX
05
—
160002501
—
TX
Enumeration date
04/24/2006
Last updated
03/10/2011
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