Avondale Family Care PLLC
Organization Active NPI Family Medicine Physician · Haslet, TX
NPI 1487070876 · NPPES record last updated Mar 11, 2014
Key facts
- NPI
- 1487070876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AVONDALE FAMILY CARE PLLC
- Practice address
- 1205 Avondale Haslet Rd
Haslet, TX 76052-3512 - Phone
- (817) 600-1908
- NPI assigned
- Mar 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Shilpi Mittal, M.D.
- Title
- Managing Partner
- Phone
- (817) 600-1908
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1205 Avondale Haslet Rd
Haslet, TX 76052-3512
Mailing address
300 Stockton Dr
Southlake, TX 76092-2226
Other providers in Haslet, TX
- Chad William Anderson
- Another Level Therapy, LLC
- Arise Homes of Texas LLC
- Jason Ashcroft
- Avondale Family Care LLP
- Patricia Bailey
- Jamonte Banks
- Doug Barnes
- Joy Annalee Bate
- Amelia Haffner Baugh
All providers in Haslet, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.