Organization
WALDEN FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACCI GAYLE WALDEN M.D. (OWNER)
(940) 498-4445
Entity
Organization
Contact information
Practice address
3504 CORINTH PARKWAY, SUITE 150, CORINTH, TX 76208
(940) 498-4445
(940) 270-5002
Mailing address
3504 CORINTH PARKWAY, SUITE 150, CORINTH, TX 76208
(940) 498-4445
(940) 270-5002
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L4162
TX
Other
Enumeration date
10/02/2007
Last updated
05/18/2010
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