Organization
FAMILY AFFAIR MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CROWDER NP (DIRECTOR)
(832) 454-9453
Entity
Organization
Contact information
Practice address
3729 SHADY HOLLOW LN, DALLAS, TX 75233-3707
(832) 454-9453
Mailing address
PO BOX 763552, DALLAS, TX 75376-3552
(832) 454-9453
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/22/2022
Last updated
12/06/2022
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