Southwest Family Medical Clinic

NPI #1104153196 in Desoto, Texas

Provider Information

NPI Number: 1104153196
Entity Type: Organization
Organization Name: Southwest Family Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Nov 11, 2009
Last Updated: Jul 22, 2010

Practice Location

Address: 1815 N HAMPTON RD
City: Desoto
State: Texas
ZIP Code: 75115-2327
Phone: (972) 709-2828

Authorized Official

Name: JAYAPRAKASH NARAYANA, MD
Title: PHYSICIAN
Phone: (972) 709-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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