Family Diagnostic Medical Center, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY DIAGNOSTIC MEDICAL CENTER, LLP

Practice address

1323 E Franklin St
Suite 105
Hillsboro, TX 76645-2621

Phone

(254) 582-7481

Fax

(254) 580-1684

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerado Carbajal

Title

Administrator

Phone

(254) 580-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1891136347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E FRANKLIN ST",
            "address_2": "SUITE 105",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452621",
            "telephone_number": "254-582-7481",
            "fax_number": "254-580-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 E FRANKLIN ST",
            "address_2": "SUITE 105",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452621",
            "telephone_number": "254-582-7481",
            "fax_number": "254-580-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DIAGNOSTIC MEDICAL CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "GERADO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-580-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093773201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastland Memorial Hospital District (Avir at Hillsboro)
• Toni Engram, D.D.S.
• Wynelle Rae Erickson, CRNA
• McKenna Erwin
• Ess of Hillsboro LLC
• Family Diagnostic Medical Center,LLP
• Garrett Lee Forero Morales, DPT
• Atemnkeng Forwang
• Susan Carrie Fry, LPC-A
• Travis Fuller, ATC

• Family Medicine Physician in Hillsboro, TX
• Providers in Hillsboro, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.