Organization
FAMILY DIAGNOSTIC MEDICAL CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO CARBAJAL MBA (ADMINISTRATOR)
(254) 580-1550
Entity
Organization
Contact information
Practice address
1314 N BRAZOS ST, WHITNEY, TX 76692-2010
(254) 694-6997
(254) 694-7007
Mailing address
1314 N BRAZOS ST, WHITNEY, TX 76692-2010
(254) 694-6997
(254) 694-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
06/15/2011
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