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Organization

SOUTHERN MEDICAL FAMILY CLINIC, INC.

Active
Other names
Carrollton Medical &Health Clinic PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PA NOUS PAN (EXECUTIVE DIRECTOR)
(972) 820-8662
Entity
Organization

Contact information

Practice address
1927 E BELT LINE RD STE 146, CARROLLTON, TX 75006-5814
(972) 820-8662
(972) 820-8664
Mailing address
1927 E BELT LINE RD STE 146, CARROLLTON, TX 75006-5814
(972) 820-8662
(972) 820-8664

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M3680
TX

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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