Organization
TOTAL CARE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY STUBBLEFIELD (LAB DIRECTOR)
(972) 295-9090
Entity
Organization
Contact information
Practice address
1200 E DAVIS ST STE 113, MESQUITE, TX 75149-8711
(972) 295-9090
(972) 534-0010
Mailing address
1200 E DAVIS ST STE 113, MESQUITE, TX 75149-8711
(972) 295-9090
(972) 534-0010
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061252511
—
TX
Enumeration date
09/24/2011
Last updated
02/23/2022
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