BETHESDA FAMILY MEDICAL CLINIC PLLC NPI 1386153773

NPI Information

BETHESDA FAMILY MEDICAL CLINIC PLLC is a family nurse practitioner in Dallas, TX. BETHESDA FAMILY MEDICAL CLINIC PLLC NPI is 1386153773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10851 FERGUSON RD
DALLAS, TX
ZIP 75228-615
Phone: (972) 965-9402

The provider's authorized official is Seema George .
The authorized official title is Owner and has the following contact phone number (972) 965-9402.

The CLIA number assigned to this NPI record is 45D2145598 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 9/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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