Accucare Clinic Of North Texas, P.A.
Family Medicine in Wichita Falls, TX. Organization (NPI-2).
NPI number1457403347
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1457403347
- Entity type
- Organization (NPI-2)
- Legal business name
- Accucare Clinic Of North Texas, P.A.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | k4889 | TX | Yes |
| 208100000X | Physical Medicine & Rehabilitation | k3729 | TX |
Practice location
3901 Armory RdMedical Office
Wichita Falls, TX 76302-2204
Phone 940-720-5755
Mailing address
3901 Armory RdMedical Office
Wichita Falls, TX 76302-2204
Phone 940-720-5755
Authorized official
Angelita Bautista Frando
Co-Owner
9407205755
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