| Our Family Medical Clinic, Inc | |
|
3671 Broadway Blvd Ste 500 Garland TX 75043-1687 | |
| (214) 325-2265 | |
| Not Available |
| Full Name | Our Family Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3671 Broadway Blvd Ste 500, Garland, Texas |
| Authorized Official Name and Position | Mac Okwah (CEO) |
| Authorized Official Contact | 2143252265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Medical Clinic, Inc 5 Foxborough Ct Heath TX 75032-6624 Ph: (214) 325-2265 | Our Family Medical Clinic, Inc 3671 Broadway Blvd Ste 500 Garland TX 75043-1687 Ph: (214) 325-2265 |
| NPI Number | 1992362610 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 8820325764 |
|---|---|
| Medicare Enrollment ID | O20190814003544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992362610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Francisca Ebele Chime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588893820 PECOS PAC ID: 7113953985 Enrollment ID: I20100106000475 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20170830000958 |
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