Provider Demographics
NPI:1205216462
Name:FAMILIA CARE INC.
Entity Type:Organization
Organization Name:FAMILIA CARE INC.
Other - Org Name:MI DOCTOR ARLINGTON
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
Mailing Address - Street 2:STE 2000
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5421
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:469-341-0488
Practice Address - Street 1:941 E. PARK ROW
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4508
Practice Address - Country:US
Practice Address - Phone:817-522-0221
Practice Address - Fax:817-522-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX29998OtherTX BOARD LICENSE