Organization
CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Active
Other names
Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DANA OLIVE GASSAWAY (ADMINISTRATOR)
(214) 668-0414
Entity
Organization
Contact information
Practice address
310 N BRYANT AVE, SHERMAN, TX 75092-7336
(903) 957-0190
(903) 957-0188
Mailing address
251 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6269
(817) 337-3433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112652602
—
TX
Enumeration date
07/07/2005
Last updated
03/18/2024
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