El Shaddai Family Clinic LLC

NPI #1447680178 in Mckinney, Texas

Provider Information

NPI Number
1447680178
Entity Type
Organization
Organization Name
El Shaddai Family Clinic LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 15, 2013
Last Updated
Jul 25, 2019

Practice Location

Address
1740 W VIRGINIA ST STE 400
State
Texas
ZIP Code
75069-7864
Phone
(469) 252-0101

Authorized Official

Name
BEENA PAUL, NP-C
Title
NURSE PRACTITIONER
Phone
(469) 252-0101

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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