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FAMILY PRACTICE SPECIALISTS & WHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN PAYBERAH M.D. (DIRECTOR)
(972) 981-7823
Entity
Organization

Contact information

Practice address
6300 W PARKER RD., SUITE 225, PLANO, TX 75093-8102
(972) 981-7822
Mailing address
6300 W PARKER RD., SUITE 225, PLANO, TX 75093-8102
(972) 981-7822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/03/2005
Last updated
10/30/2009
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