MEDICARE: FAMILY HEALTH CARE

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
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508840497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CARE

Provider Business Mailing Address
First Line	:	3537 S I-35 E
Second Line	:	SUITE 210
City	:	DENTON
State	:	TX
Zip	:	76210-6800
Country	:	US
Telephone Number	:	940-381-2313
Fax Number	:	940-381-5249

Provider Business Practice Location Address
First Line	:	3537 S I-35 E
Second Line	:	SUITE 210
City	:	DENTON
State	:	TX
Zip	:	76210-6800
Country	:	US
Telephone Number	:	940-381-2313
Fax Number	:	940-381-5249

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JAY PATRICE CAPAN
Credential	:	RN,CNS-BC
Telephone Number	:	940-381-2313

Provider Enumeration Date	:	12/04/2005
Last Update Date	:	06/24/2010

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1265435705 — MRS. JAY PATRICE CAPAN RN, PHCNS-BC
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1528018934 — ANNETTE M FRANTZ WHNP
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Directions to “FAMILY HEALTH CARE ” Practice Location

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