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Faith Medical Clinic, Pllc
Family Nurse Practitioner in Canyon, Texas
NPI 1417368168

Faith Medical Clinic, Pllc is a Family Nurse Practitioner based in Canyon, TX and is specialized in Family. Faith Medical Clinic, Pllc practices in Canyon, TX. The NPI Number for Faith Medical Clinic, Pllc is 1417368168 and holds a License No. AP118557 (Texas).

The current practice location address for Faith Medical Clinic, Pllc is 1619 4Th Ave, Canyon, TX and can be reached out via phone at 806-557-4138 and via fax at 806-557-4165.

Location: 1619 4Th Ave, Canyon, TX, 79015-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417368168
Provider Name
Faith Medical Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1619 4Th Ave, Canyon, TX, 79015-1614
Phone Number
806-557-4138
Fax Number
806-557-4165
Provider Enumeration Date
05/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1619 4Th Ave
City
Canyon
State
Texas
Zip
79015-3824
Phone Number
806-557-4138
Fax Number
806-557-4165
person
Provider Business Mailing Address Details
Address
1619 4Th Ave
City
Canyon
State
Texas
Zip
79015-3824
Phone Number
806-557-4138
Fax Number
806-557-4165
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP118557 (Texas)
Definition
Definition to come...
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