# SOUTHERN MEDICAL FAMILY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carrollton Medical &Health Clinic PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861628117
- **Authorized official:** MR. PA NOUS PAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (972) 820-8662

## Contact information

- **Practice address:** 1927 E BELT LINE RD STE 146, CARROLLTON, TX 75006-5814
- **Practice address phone:** (972) 820-8662
- **Practice address fax:** (972) 820-8664
- **Mailing address:** 1927 E BELT LINE RD STE 146, CARROLLTON, TX 75006-5814
- **Mailing address phone:** (972) 820-8662
- **Mailing address fax:** (972) 820-8664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | M3680 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 06/01/2009