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Organization
SOUTH ARLINGTON FAMILY HEALTH CLINIC PA
Active
Organization
SOUTH ARLINGTON FAMILY HEALTH CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN YBARRA MD (PRESIDENT)
(817) 453-5001
Entity
Organization
Contact information
Practice address
1600 N HIGHWAY 287, SUITE 102, MANSFIELD, TX 76063-8853
(817) 453-5001
Mailing address
1810 SHILOH RD, SUITE 701, TYLER, TX 75703-2419
(903) 581-3879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3883
TX
Other
Enumeration date
09/04/2007
Last updated
10/16/2008
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