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Organization

FAMILY PHYSICIANS OF WYLIE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOREEN SHINN (A/R MANAGER)
(972) 784-2800
Entity
Organization

Contact information

Practice address
801-A HWY 78, SUITE 201, WYLIE, TX 75098-4000
(972) 429-1077
(972) 429-1173
Mailing address
801-A HWY 78, SUITE 201, WYLIE, TX 75098-4000
(972) 429-1077
(972) 429-1173

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I10683
UPIN
TX
Enumeration date
11/08/2007
Last updated
11/08/2007
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