IMMANUEL FAMILY CLINIC PLLC

CARROLLTON, TX
NPI1265072490
Entity TypeOrganization
Authorized ContactSUTHA M FERNANDO
Owner
214-625-2808
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2020-01-15
Last Update Date2020-02-11
Business Address
IMMANUEL FAMILY CLINIC PLLC
2760 E TRINITY MILLS RD STE 115
CARROLLTON, TX 75006-2194
Phone number: 469-900-8211
Mailing Address
IMMANUEL FAMILY CLINIC PLLC
2760 E TRINITY MILLS RD STE 115
CARROLLTON, TX 75006-2194
Phone number: 469-900-8211
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