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NPI Code Detail

MEDICARE: COPPELL FAMILY MEDICAL CENTER, P.A.

MEDICARE: COPPELL FAMILY MEDICAL CENTER, P.A.
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
1207Q00000XFamily Medicine PhysicianTX

General Provider Information

NPI Number : 1649251620
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPPELL FAMILY MEDICAL CENTER, P.A.
Provider Business Mailing Address
First Line : 580 S DENTON TAP RD
Second Line : #123
City : COPPELL
State : TX
Zip : 75019-4098
Country : US
Telephone Number : 972-462-0762
Fax Number : 972-393-2133
Provider Business Practice Location Address
First Line : 580 S DENTON TAP RD
Second Line : #123
City : COPPELL
State : TX
Zip : 75019-4098
Country : US
Telephone Number : 972-462-0762
Fax Number : 972-393-2133
Authorized Official
Title or Position : PRESIDENT PHYSICIAN
Name : JAY C STORY
Credential : MD
Telephone Number : 972-462-0762
Provider Enumeration Date : 11/08/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1174514335 — DIANA COXSEY MD
Practice Location Address:
580 S DENTON TAP RD , #123
COPPELL, TX
75019-4098
Practice Phone: 972-462-0762
Practice Fax: 972-393-2133
1427039429 — JOHN M ARTHUR MD
Practice Location Address:
580 S DENTON TAP RD , #123
COPPELL, TX
75019-4098
Practice Phone: 972-462-0762
Practice Fax: 972-393-2133
1659352169 — STEVEN P GELLMAN MD
Practice Location Address:
580 S DENTON TAP RD , #123
COPPELL, TX
75019-4098
Practice Phone: 972-462-0762
Practice Fax: 972-393-2133
1801878178 — JAY C STORY MD
Practice Location Address:
580 S DENTON TAP RD , #123
COPPELL, TX
75019-4098
Practice Phone: 972-462-0762
Practice Fax: 972-393-2133
1326021205 — MR. CHRISTOPHER CHARLES RIDDICK LPC
Practice Location Address:
580 S DENTON TAP RD , SUITE 270
COPPELL, TX
75019-4098
Practice Phone: 972-393-1596
Practice Fax: 972-304-0400
1699860965 — LEIGH LYNDE NP
Practice Location Address:
580 S DENTON TAP RD
COPPELL, TX
75019-4098
Practice Phone: 972-462-0762
Practice Fax: 972-393-2133

Directions to “COPPELL FAMILY MEDICAL CENTER, P.A. ” Practice Location

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