Vine Family Medicine Pllc

NPI #1407427420 in Keller, Texas

Provider Information

NPI Number
1407427420
Entity Type
Organization
Organization Name
Vine Family Medicine Pllc
Primary Specialty
Family Medicine
Enumeration Date
Jul 9, 2021
Last Updated
Jul 12, 2021

Practice Location

Address
420 JOHNSON RD STE 304
City
Keller
State
Texas
ZIP Code
76248-3463
Phone
(817) 710-3040

Authorized Official

Name
DR. OCHUELE ODUMOSU, MD
Title
MEDICAL DIRECTOR
Phone
(817) 710-3040

Specialties & Taxonomy Codes

Specialty
Family Medicine

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