Organization
CLINICA INTEGRAL FAMILIA SANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SABALLET (MANAGER)
(786) 327-8992
Entity
Organization
Contact information
Practice address
2950 W CAMP WISDOM RD STE 100, GRAND PRAIRIE, TX 75052-4461
(214) 235-0114
(214) 677-0043
Mailing address
2950 W CAMP WISDOM RD STE 100, GRAND PRAIRIE, TX 75052-4461
(214) 235-0114
(214) 677-0043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043780513
NURSE PRACTIONER
TX
Enumeration date
01/09/2023
Last updated
01/11/2023
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