Provider Demographics
NPI:1043725179
Name:7C FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:7C FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:CHEYANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CASAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-624-2030
Mailing Address - Street 1:308 BLUE RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5409
Mailing Address - Country:US
Mailing Address - Phone:630-624-2030
Mailing Address - Fax:512-621-7973
Practice Address - Street 1:308 BLUE RIDGE TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5409
Practice Address - Country:US
Practice Address - Phone:630-624-2030
Practice Address - Fax:512-621-7973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4636261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care