Avondale Family Care LLP

Organization Active NPI Family Medicine Physician · Haslet, TX

NPI 1033534201 · NPPES record last updated Feb 25, 2014

Key facts

NPI
1033534201
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AVONDALE FAMILY CARE LLP
Practice address
1205 Avondale Haslet Rd
Haslet, TX 76052-3512
Phone
(817) 600-1908
NPI assigned
Feb 25, 2014
Organization subpart
No

Authorized official

Name
Dr. Shilpi Mittal, M.D
Title
Managing Partner
Phone
(817) 600-1908

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1205 Avondale Haslet Rd
Haslet, TX 76052-3512

Mailing address

300 Stockton Dr
Southlake, TX 76092-2226
Phone (817) 600-1908

Other providers in Haslet, TX

All providers in Haslet, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.