Mycommunitycenter

Organization Active NPI Family Medicine Physician · Richland Hills, TX

NPI 1114563376 · NPPES record last updated Nov 22, 2019

Key facts

NPI
1114563376
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MYCOMMUNITYCENTER
Practice address
7100 Boulevard 26 Ste 106
Richland Hills, TX 76180-8687
Phone
(817) 616-3413
Fax
(817) 616-3388
NPI assigned
Nov 22, 2019
Organization subpart
No

Authorized official

Name
Evah D Gonzales
Title
Executive Director
Phone
(817) 616-3413

National Provider Directory

Locations

7100 Boulevard 26
Ste 106
Richland Hills, TX 76180
Phone (817) 616-3413

Specialties & licenses

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

Addresses

Primary practice location

7100 Boulevard 26 Ste 106
Richland Hills, TX 76180-8687

Mailing address

Attn.: Mohammed Paracha
2808 Brookshire Drive
Southlake, TX 76092
Phone (817) 616-3413

Other providers in Richland Hills, TX

All providers in Richland Hills, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.