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Organization
TRUMED FAMILY CLINIC
Active
Organization
TRUMED FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH UDABOR FNP-C (OWNER/PRACTITIONER)
(972) 740-5830
Entity
Organization
Contact information
Practice address
2801 OSLER DR STE 120, GRAND PRAIRIE, TX 75051-1059
(214) 677-0208
(214) 677-0230
Mailing address
PO BOX 294822, LEWISVILLE, TX 75029-4822
(214) 677-0208
(214) 677-0230
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
723945
TX
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
723945
TX
Other
Enumeration date
08/30/2010
Last updated
02/01/2023
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