# FAMILY MEDICINE AND SURGERY PC

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

## Provider details

- **NPI number:** 1417143066
- **Authorized official:** CHRISTINA RAJ (OFFICE MANAGER/ BILLING)
- **Authorized official phone:** (402) 898-1600

## Contact information

- **Practice address:** 8045 L ST, RALSTON, NE 68127-1745
- **Practice address phone:** (402) 898-1600
- **Mailing address:** 8045 L ST, RALSTON, NE 68127-1745
- **Mailing address phone:** (402) 898-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 18039 | NE | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/18/2007