MEDICARE: EDROPA FAMILY MEDICINE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1467090050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDROPA FAMILY MEDICINE CLINIC

Provider Business Mailing Address
First Line	:	339 REDSTONE DR
Second Line	:
City	:	SUNNYVALE
State	:	TX
Zip	:	75182-3240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	429 E INTERSTATE 30 STE 114
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4097
Country	:	US
Telephone Number	:	972-795-3292
Fax Number	:	972-767-0334

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. JOAN ADOMAA ASAFO-AGYEI
Credential	:	NP
Telephone Number	:	972-795-3292

Provider Enumeration Date	:	12/14/2019
Last Update Date	:	10/18/2024

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Practice Location Address:

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1578688834 — WILBARGER COUNTY HOSPITAL DISTRICT
Practice Location Address:

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