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Organization
NORTH TEXAS FAMILY CARE ASSOCIATES PA
Active
Organization
NORTH TEXAS FAMILY CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA SHABNAM M.D. (PRESIDENT)
(817) 421-9999
Entity
Organization
Contact information
Practice address
823 IRA E WOODS AVE, SUITE 200, GRAPEVINE, TX 76051-4083
(817) 421-9999
(817) 421-9910
Mailing address
PO BOX 2166, GRAPEVINE, TX 76099-2166
(817) 421-9999
(817) 421-9910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002WV
BCBS GROUP
TX
Enumeration date
07/01/2011
Last updated
08/05/2011
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