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NPI Code Detail

MEDICARE: FAMILIA CARE, INC.

MEDICARE: FAMILIA CARE, INC.
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
13336C0003XCommunity/Retail Pharmacy29997TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129997OTHERTXLICENSE

General Provider Information

NPI Number : 1184008807
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILIA CARE, INC.
Provider Business Mailing Address
First Line : 222 LAS COLINAS BLVD W STE 2000
Second Line :
City : IRVING
State : TX
Zip : 75039-5440
Country : US
Telephone Number : 972-957-3000
Fax Number : 469-341-0488
Provider Business Practice Location Address
First Line : 3247 DAWES DR
Second Line :
City : DALLAS
State : TX
Zip : 75211-5760
Country : US
Telephone Number : 214-330-7767
Fax Number : 214-330-7780
Authorized Official
Title or Position : SR. DIRECTOR OF OPERATIONS
Name : CHRISTY VEDIA
Credential :
Telephone Number : 972-957-3000
Provider Enumeration Date : 07/13/2015
Last Update Date : 07/13/2015

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Directions to “FAMILIA CARE, INC. ” Practice Location

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