Emcc Azle Family Practice LLC

NPI #1104382340 in Azle, Texas

Provider Information

NPI Number
1104382340
Entity Type
Organization
Organization Name
Emcc Azle Family Practice LLC
Primary Specialty
Family Medicine
Enumeration Date
Feb 12, 2019
Last Updated
May 18, 2023

Practice Location

Address
601 NORTHWEST PKWY STE C
City
Azle
State
Texas
ZIP Code
76020-2930
Phone
(817) 270-0788

Authorized Official

Name
MICHELLE NEWSOM
Title
VP OF OPERATIONS
Phone
(817) 271-2583

Specialties & Taxonomy Codes

Specialty
Family Medicine

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