Organization
FAMILY CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO M FUENTES DO (PRESIDENT OWNER)
(972) 242-2726
Entity
Organization
Contact information
Practice address
1205 N JOSEY LN, CARROLLTON, TX 75006-6145
(972) 242-2726
(972) 242-5266
Mailing address
1205 N JOSEY LN, CARROLLTON, TX 75006-6145
(972) 242-2726
(972) 242-5266
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K8749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147634301
—
TX
Enumeration date
08/06/2007
Last updated
01/18/2008
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