NPI 1104014463

Family Practice Associates

Organisation Exclusive Provider Organization Abilene, TX

Practice location

Address: 35 Windmill Cir, Abilene, TX 79606-5234
Phone: (325) 698-4221
Fax: (325) 698-6951

Authorised official

Name: David Joseph Randell
Title: Owner
Phone: (325) 698-4221

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence H5795 (TX)

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Registry record

NPI: 1104014463
Entity type: Organization
NPI issued: 11 Oct 2007
Record last updated: 11 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.