Provider Demographics
NPI:1891208997
Name:REAL FAMILY CARE, PLLC
Entity Type:Organization
Organization Name:REAL FAMILY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKLAUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:602-793-7131
Mailing Address - Street 1:2738 N GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2601 N 3RD ST STE 301
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1101
Practice Address - Country:US
Practice Address - Phone:602-793-7131
Practice Address - Fax:623-377-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-10
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care