Organization
FAMILY DIAGNOSTIC MEDICAL CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERADO CARBAJAL (ADMINISTRATOR)
(254) 580-1550
Entity
Organization
Contact information
Practice address
1323 E FRANKLIN ST, SUITE 105, HILLSBORO, TX 76645-2621
(254) 582-7481
(254) 580-1684
Mailing address
1323 E FRANKLIN ST, SUITE 105, HILLSBORO, TX 76645-2621
(254) 582-7481
(254) 580-1684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093773201
—
TX
Enumeration date
07/12/2013
Last updated
07/12/2013
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