| NPI | 1629630249 |
|---|---|
| Doing Business As | FAMILY PRACTICE TX |
| Entity Type | Organization |
| Authorized Contact | BRIAN NELSON Md/Owner 682-317-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-11-06 |