Bethesda Family Medical Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BETHESDA FAMILY MEDICAL CLINIC PLLC

Practice address

10851 Ferguson Rd
Dallas, TX 75228-2615

Phone

(972) 965-9402

NPI assigned

Sep 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seema George

Title

Owner

Phone

(972) 965-9402

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1386153773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DEER CREEK LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823204",
            "telephone_number": "972-965-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 FERGUSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282615",
            "telephone_number": "972-965-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-965-9402"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.