Organization
DFW COMMUNITY MEDICAL GROUP PLLC
Active
Other names
Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HATSHEPSUT OSHUN (OWNER)
(267) 242-3404
Entity
Organization
Contact information
Practice address
916 W 6TH ST, IRVING, TX 75060-3874
(214) 570-0006
(469) 586-5909
Mailing address
1901 W IRVING BLVD, IRVING, TX 75061-6823
(214) 570-0006
(469) 586-5909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363LF0000X
Family Nurse Practitioner
AP128978
TX
Other
Enumeration date
11/24/2015
Last updated
03/05/2024
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