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FIRST FAMILY CARE PLLC NPI 1154666758


NPI Information

NPI: 1154666758
Provider Name: FIRST FAMILY CARE, PLLC

Doing Business As: FIRST MED

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2076715

Address:
1212 N HIGHWAY 377 STE 119
ROANOKE, TX
ZIP 76262
Phone: (682) 831-1591
Get Directions

FIRST FAMILY CARE, PLLC is a family medicine in Roanoke, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FIRST FAMILY CARE, PLLC NPI is 1154666758. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As First Med.

The provider's business location address is:

1212 N HIGHWAY 377 STE 119
ROANOKE, TX
ZIP 76262-916
Phone: (682) 831-1591

The provider's authorized official is Prakash Bhakta .
The authorized official title is Owner and has the following contact phone number (682) 831-1591.

The CLIA number assigned to this NPI record is 45D2076715 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 6/10/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1279200YQ2XMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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