Organization · Type 2 NPI
Immanuel Family Clinic PLLC
Family Nurse Practitioner · Carrollton, TX
NPI number
1265072490
Active
Practice location
2760 E Trinity Mills Rd Ste 115
Carrollton, TX 75006-2194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1265072490
Immanuel Family Clinic PLLC's National Provider Identifier is 1265072490, issued on Jan 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carrollton, TX. The record was last updated on Feb 11, 2020.