Organization
AVONDALE FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPI MITTAL M.D. (MANAGING PARTNER)
(817) 600-1908
Entity
Organization
Contact information
Practice address
1205 AVONDALE HASLET RD, HASLET, TX 76052-3512
(817) 600-1908
Mailing address
300 STOCKTON DR, SOUTHLAKE, TX 76092-2226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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