Organization
STRATFORD FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY W BRIAN RN, FNP-C (FNP)
(806) 396-5583
Entity
Organization
Contact information
Practice address
1220 PURNELL, STRATFORD, TX 79084-1107
(806) 396-5583
(806) 366-2713
Mailing address
PO BOX 1107, STRATFORD, TX 79084-1107
(806) 396-5583
(806) 366-2713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
578145
TX
363LF0000X
Family Nurse Practitioner
567349
TX
Other
Enumeration date
05/10/2007
Last updated
03/06/2015
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