Organization
ATEASE FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL U KALU MSN, APRN (OWNER OF ENTITY)
(682) 297-4097
Entity
Organization
Contact information
Practice address
1301 JUSTIN RD STE 2015035, LEWISVILLE, TX 75077-2124
(682) 297-4097
Mailing address
1301 JUSTIN RD STE 2015035, LEWISVILLE, TX 75077-2124
(682) 297-4097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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