# FAMILY DENTISTRY OF TEXOMA

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

## Provider details

- **NPI number:** 1386910065
- **Authorized official:** MRS. STACY FINLEY (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (940) 723-0435

## Contact information

- **Practice address:** 4506 KEMP BLVD., WICHITA FALLS, TX 76308
- **Practice address phone:** (940) 723-0435
- **Practice address fax:** (940) 766-4241
- **Mailing address:** PO BOX 9050, WICHITA FALLS, TX 76308-9050
- **Mailing address phone:** (940) 723-0435
- **Mailing address fax:** (940) 766-4241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20198 | TX | — |
| 1223G0001X | General Practice Dentistry | 22228 | TX | Yes |

## Other

- **Enumeration date:** 03/28/2012
- **Last updated:** 03/28/2012