Organization
SOUTHERN FAMILY MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PA PAN (DIRECTOR)
(214) 731-3027
Entity
Organization
Contact information
Practice address
1927 E BELT LINE RD, 146, CARROLLTON, TX 75006-5821
(214) 731-3027
Mailing address
1927 E BELT LINE RD, 146, CARROLLTON, TX 75006-5821
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
261Q00000X
TX
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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