Provider Demographics
NPI:1609281112
Name:FAMCARE CLINIC OF NORTH TEXAS, PLLC
Entity Type:Organization
Organization Name:FAMCARE CLINIC OF NORTH TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALPA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-733-6425
Mailing Address - Street 1:4320 WINDSOR CENTRE TRL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1884
Mailing Address - Country:US
Mailing Address - Phone:972-539-1600
Mailing Address - Fax:972-539-1655
Practice Address - Street 1:4320 WINDSOR CENTRE TRL
Practice Address - Street 2:SUITE 300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1884
Practice Address - Country:US
Practice Address - Phone:972-539-1600
Practice Address - Fax:972-539-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9375305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service