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SHRADER FAMILY MEDICAL CLINIC PA NPI 1609060383


NPI Information

NPI: 1609060383
Provider Name: SHRADER FAMILY MEDICAL CLINIC, PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
429 N GUN BARREL LN
SUITE 111
GUN BARREL CITY, TX
ZIP 75156
Phone: (903) 887-2704
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SHRADER FAMILY MEDICAL CLINIC, PA is a clinic center in Gun Barrel City, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHRADER FAMILY MEDICAL CLINIC, PA NPI is 1609060383. The provider is registered as an organization entity type.

The provider's business location address is:

429 N GUN BARREL LN
SUITE 111
GUN BARREL CITY, TX
ZIP 75156-731
Phone: (903) 887-2704

The provider's authorized official is Karen E Shrader .
The authorized official title is Owner and has the following contact phone number (903) 887-2704.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.


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
1261Q00000XClinic/CenterG3787TEXASYes

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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