MEDICARE: HARMONAH FAMILY MEDICAL CLINIC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1891730172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONAH FAMILY MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	8500 N STEMMONS FWY
Second Line	:	STE 1005
City	:	DALLAS
State	:	TX
Zip	:	75247-3832
Country	:	US
Telephone Number	:	214-630-7770
Fax Number	:	214-630-7272

Provider Business Practice Location Address
First Line	:	8500 N STEMMONS FWY
Second Line	:	STE 1005
City	:	DALLAS
State	:	TX
Zip	:	75247-3832
Country	:	US
Telephone Number	:	214-630-7770
Fax Number	:	214-630-7272

Authorized Official
Title or Position	:	OWNER
Name	:	ELSIE N YOUNG
Credential	:
Telephone Number	:	214-276-0902

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2020

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Directions to “HARMONAH FAMILY MEDICAL CLINIC ” Practice Location

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