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NPI 1780882621

NPI 1780882621 : NORTH TEXAS FAMILY MEDICINE, PLLC : PILOT POINT, TX

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General NPI Number Information
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    NPI Number           |    1780882621
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH TEXAS FAMILY MEDICINE, PLLC 
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Dates
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    Enumeration Date     |    07/03/2007
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    1340 N HWY 377 STE 110 
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    City                 |    PILOT POINT
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    State                |    TX
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    Zip                  |    76258
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    Country              |    US
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    Telephone            |    940-686-0860
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    Fax                  |    940-686-5834
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Provider Business Mailing Address
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    Address Line         |    1340 N HWY 377 STE 110 
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    City                 |    PILOT POINT
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    State                |    TX
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    Zip                  |    76258
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    Country              |    US
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    Telephone            |    940-686-0860
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    Fax                  |    940-686-5834
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     JAY  HOUK 
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    Credential           |    
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    Telephone            |    940-686-0860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA00045
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    614536
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    License Number State |    TX
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