Organization
FIRST FAMILY CARE, PLLC
Active
Other names
FIRST MED
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH BHAKTA DC (OWNER)
(682) 831-1591
Entity
Organization
Contact information
Practice address
1212 N HIGHWAY 377 STE 119, ROANOKE, TX 76262-6916
(682) 831-1591
Mailing address
1212 N HIGHWAY 377 STE 119, ROANOKE, TX 76262-6916
(682) 831-1591
(682) 831-1598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
06/10/2013
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