Organization
MY FAMILY MEDICAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY OMENONYE EHIABOR M.D. (OWNER)
(832) 262-7028
Entity
Organization
Contact information
Practice address
14201 LAUREL PARK DR, SUITE 102A, LAUREL, MD 20707-5203
(301) 490-6341
(301) 490-6343
Mailing address
14201 LAUREL PARK DR, SUITE 102A, LAUREL, MD 20707-5203
(301) 490-6341
(301) 490-6343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
03/20/2012
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