Provider Demographics
NPI:1184008807
Name:FAMILIA CARE, INC.
Entity Type:Organization
Organization Name:FAMILIA CARE, INC.
Other - Org Name:MI DOCTOR WESTMORELAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-957-3000
Mailing Address - Street 1:222 LAS COLINAS BLVD W STE 2000
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5440
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:469-341-0488
Practice Address - Street 1:3247 DAWES DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-5760
Practice Address - Country:US
Practice Address - Phone:214-330-7767
Practice Address - Fax:214-330-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX29997OtherLICENSE