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NPI Code Detail

MEDICARE: FAMILY MEDICAL ASSOC. OF NORTH DALLAS, PA

MEDICARE: FAMILY MEDICAL ASSOC. OF NORTH DALLAS, 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
1207Q00000XFamily Medicine PhysicianD5403TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750349577
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY MEDICAL ASSOC. OF NORTH DALLAS, PA
Provider Business Mailing Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number : 214-526-6851
Provider Business Practice Location Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number : 214-526-6851
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. MICHAEL D HOFFMAN
Credential : DO
Telephone Number : 214-358-0090
Provider Enumeration Date : 05/02/2006
Last Update Date : 04/09/2012

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Directions to “FAMILY MEDICAL ASSOC. OF NORTH DALLAS, PA ” Practice Location

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