| Family Care Medical Center | |
|
1205 N Josey Ln Carrollton TX 75006-6145 | |
| (972) 242-2726 | |
| (972) 242-5266 |
| Full Name | Family Care Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Guillermo M Fuentes (PRESIDENT OWNER) |
| Authorized Official Contact | 9722422726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Medical Center 1205 N Josey Ln Carrollton TX 75006-6145 Ph: (972) 242-2726 | Family Care Medical Center 1205 N Josey Ln Carrollton TX 75006-6145 Ph: (972) 242-2726 |
| NPI Number | 1356532147 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 01/18/2008 |
| Medicare PECOS PAC ID | 2668559022 |
|---|---|
| Medicare Enrollment ID | O20080409000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356532147 | NPI | - | NPPES |
| 147634301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K8749 (Texas) | Primary |
| Provider Name | Guillermo M Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962599571 PECOS PAC ID: 9133290042 Enrollment ID: I20121011000694 |
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