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General NPI Number Information
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NPI Number | 1760681514
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Entity Type | Organization
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Legal Business Name | SOUTHWEST CHILD AND FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 3450 W WHEATLAND RD POB II SUITE 440
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City | DALLAS
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State | TX
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Zip | 75237-3470
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Country | US
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Telephone | 972-224-1122
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Fax | 972-224-8084
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Provider Business Mailing Address
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Address Line | 3450 W WHEATLAND RD POB II SUITE 440
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City | DALLAS
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State | TX
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Zip | 75237-3470
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Country | US
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Telephone | 972-224-1122
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Fax | 972-224-8084
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAMIAN DAVID GARCIA
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Credential | M.D.
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Telephone | 972-224-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8121
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L3646
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License Number State | TX
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