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
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