| Beulah Family Clinic | |
|
7268 Portillo Grand Prairie TX 75054-0073 | |
| (469) 585-8129 | |
| Not Available |
| Full Name | Beulah Family Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 7268 Portillo, Grand Prairie, Texas |
| Authorized Official Name and Position | Patrick Moneke (ADMINISTRATOR) |
| Authorized Official Contact | 8173660950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beulah Family Clinic 1534 N Hampton Rd Desoto TX 75115-2302 Ph: () - | Beulah Family Clinic 7268 Portillo Grand Prairie TX 75054-0073 Ph: (469) 585-8129 |
| NPI Number | 1750144150 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750144150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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