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Organization
EMCC STEPHENVILLE FAMILY PRACTICE
Active
Organization
EMCC STEPHENVILLE FAMILY PRACTICE
Active
Other names
Surepoint Family Practice Stephenville, Surepoint Urgent Care Stephenville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NEWSOM (PRESIDENT)
(817) 271-2583
Entity
Organization
Contact information
Practice address
2108 W WASHINGTON ST STE 100, STEPHENVILLE, TX 76401-3928
(254) 587-3848
Mailing address
2300 MATLOCK RD STE 35, MANSFIELD, TX 76063-5018
(469) 830-8200
(469) 830-8201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
TX
Enumeration date
02/12/2019
Last updated
05/18/2023
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