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NPI Code Detail

MEDICARE: FAMILY HEALTHCARE ASSOCIATES

MEDICARE: FAMILY HEALTHCARE ASSOCIATES
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
1207V00000XObstetrics & Gynecology Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1831159466
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTHCARE ASSOCIATES
Provider Business Mailing Address
First Line : 1300 S FIELDER RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2348
Country : US
Telephone Number : 817-277-2221
Fax Number :
Provider Business Practice Location Address
First Line : 1300 S FIELDER RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2348
Country : US
Telephone Number : 817-277-2221
Fax Number :
Authorized Official
Title or Position : BILLING ADMINISTRATOR
Name : MRS. DONNA ROSE COPPOLA
Credential :
Telephone Number : 817-459-5245
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/30/2007

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Directions to “FAMILY HEALTHCARE ASSOCIATES ” Practice Location

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