Healthcare Provider Details

I. General information

NPI: 1780882621
Provider Name (Legal Business Name): NORTH TEXAS FAMILY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 N HWY 377 STE 110
PILOT POINT TX
76258
US

IV. Provider business mailing address

1340 N HWY 377 STE 110
PILOT POINT TX
76258
US

V. Phone/Fax

Practice location:
  • Phone: 940-686-0860
  • Fax: 940-686-5834
Mailing address:
  • Phone: 940-686-0860
  • Fax: 940-686-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA00045
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number614536
License Number StateTX

VIII. Authorized Official

Name: JAY HOUK
Title or Position: OFFICE MANAGER
Credential:
Phone: 940-686-0860