Organization
FAMILY DIAGNOSTIC MEDICAL CENTER,LLP
Active
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
1323 E FRANKLIN ST, SUITE 105, HILLSBORO, TX 76645-2678
(254) 582-7481
(254) 582-1584
Mailing address
1323 E FRANKLIN ST, SUITE 105, HILLSBORO, TX 76645-2678
(254) 582-7481
(254) 582-1584
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093773201
—
TX
05
—
093773203
—
TX
05
—
093773204
—
TX
Enumeration date
02/23/2006
Last updated
03/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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