# EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC

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

## Provider details

- **NPI number:** 1336485838
- **Authorized official:** DENNIS O OCHEI M.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (469) 206-2630

## Contact information

- **Practice address:** 2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115-2019
- **Practice address phone:** (469) 206-2630
- **Practice address fax:** (214) 730-4281
- **Mailing address:** 2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115-2019
- **Mailing address phone:** (469) 206-2630
- **Mailing address fax:** (214) 730-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K8394 | TX | Yes |

## Other

- **Enumeration date:** 01/02/2013
- **Last updated:** 11/03/2016