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EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC INC NPI 1336485838


NPI Information

NPI: 1336485838
Provider Name: EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1020400

Address:
2707 BOLTON BOONE DR.
SUITE 100
DESOTO, TX
ZIP 75115
Phone: (469) 206-2630
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EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC is a family medicine in Desoto, 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. EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC NPI is 1336485838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2707 BOLTON BOONE DR.
SUITE 100
DESOTO, TX
ZIP 75115-019
Phone: (469) 206-2630
Fax: (214) 730-4281

The provider's authorized official is Dennis O Ochei .
The authorized official title is Executive Director and has the following contact phone number (469) 206-2630.

The CLIA number assigned to this NPI record is 45D1020400 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/2/2013 and was last updated on 11/3/2016.


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 MedicineK8394TEXASYes

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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