Organization
FAIRWAY FAMILY MEDICINE-PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONG XIAO M.D. (MEDICAL DIRECTOR)
(469) 878-9480
Entity
Organization
Contact information
Practice address
4100 FAIRWAY DR, 320, CARROLLTON, TX 75010-6525
(972) 236-7608
Mailing address
4100 FAIRWAY DR, 320, CARROLLTON, TX 75010-6525
(972) 236-7608
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L3196
TX
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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