# TRUMED FAMILY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235445123
- **Authorized official:** JUDITH UDABOR FNP-C (OWNER/PRACTITIONER)
- **Authorized official phone:** (972) 740-5830

## Contact information

- **Practice address:** 2801 OSLER DR STE 120, GRAND PRAIRIE, TX 75051-1059
- **Practice address phone:** (214) 677-0208
- **Practice address fax:** (214) 677-0230
- **Mailing address:** PO BOX 294822, LEWISVILLE, TX 75029-4822
- **Mailing address phone:** (214) 677-0208
- **Mailing address fax:** (214) 677-0230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 723945 | TX | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | 723945 | TX | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 02/01/2023
