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Organization
NORTH CENTRAL TEXAS MEDICAL FOUNDATION
Active
Organization
NORTH CENTRAL TEXAS MEDICAL FOUNDATION
Active
Other names
Wichita Falls Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED A MATTAR M.D. (PROGRAM DIRECTOR)
(940) 767-5145
Entity
Organization
Contact information
Practice address
1301 3RD STREET, SUITE 200, WICHITA FALLS, TX 76301-2245
(940) 767-5145
(940) 767-3027
Mailing address
1301 3RD STREET, SUITE 200, WICHITA FALLS, TX 76301-2245
(940) 767-5145
(940) 767-3027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112097401
—
TX
Enumeration date
11/07/2006
Last updated
11/07/2014
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