DAVOODI FAMILY MEDICINE PA NPI 1174891899

NPI Information

NPI: 1174891899
Provider Name: DAVOODI FAMILY MEDICINE PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D1098590

Address:
3051 CHURCHILL DR
SUITE # 100
FLOWER MOUND, TX
ZIP 75022
Phone: (972) 410-3682
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DAVOODI FAMILY MEDICINE PA is a primary care clinic center in Flower Mound, TX. DAVOODI FAMILY MEDICINE PA NPI is 1174891899. The provider is registered as an organization entity type.

The provider's business location address is:

3051 CHURCHILL DR
SUITE # 100
FLOWER MOUND, TX
ZIP 75022-713
Phone: (972) 410-3682
Fax: (972) 410-3683

The provider's authorized official is Fariborz Alan Davoodi .
The authorized official title is Physician and has the following contact phone number (972) 410-3682.

The CLIA number assigned to this NPI record is 45D1098590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	H2930	TEXAS	No
2	261QP2300X	Clinic/Center	Primary Care	H2930	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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