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Organization
PREVENTIVE PRIMARY CARE, LLC
Active
Organization
PREVENTIVE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA DIAZ FNP (PROVIDER)
(806) 316-2754
Entity
Organization
Contact information
Practice address
1 VILLAGE DR, CANYON, TX 79015-2041
(806) 316-2754
Mailing address
1 VILLAGE DR, CANYON, TX 79015-2041
(806) 316-2754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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