# ABILENE FAMILY MEDICAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1376954743
- **Authorized official:** FREDDIE R JOHNSON FNP (OWNER)
- **Authorized official phone:** (325) 701-9961

## Contact information

- **Practice address:** 4542 S 14TH ST, ABILENE, TX 79605-4737
- **Practice address phone:** (325) 701-9961
- **Mailing address:** 4542 S 14TH ST, ABILENE, TX 79605-4737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 603150 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 05/19/2014