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NPI Code Detail

MEDICARE: FAMILY & CHILDREN'S CLINIC, PA

MEDICARE: FAMILY & CHILDREN'S CLINIC, PA
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1417095639
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY & CHILDREN'S CLINIC, PA
Provider Business Mailing Address
First Line : 200 NOLA RUTH BLVD
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-6074
Country : US
Telephone Number : 254-698-6629
Fax Number : 254-698-1673
Provider Business Practice Location Address
First Line : 200 NOLA RUTH BLVD
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-6074
Country : US
Telephone Number : 254-698-6629
Fax Number : 254-698-1673
Authorized Official
Title or Position : OFFICE MANAGER
Name : SANDY BIGHAM
Credential :
Telephone Number : 254-698-6629
Provider Enumeration Date : 02/01/2007
Last Update Date : 08/22/2020

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Directions to “FAMILY & CHILDREN'S CLINIC, PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.