North Central Texas Medical Foundation

NPI #1609169424 in Wichita Falls, Texas

Provider Information

NPI Number: 1609169424
Entity Type: Organization
Organization Name: North Central Texas Medical Foundation
Primary Specialty: Family Medicine
Enumeration Date: May 26, 2011
Last Updated: May 26, 2011

Practice Location

Address: 1301 3RD ST
Address 2: SUITE 200
City: Wichita Falls
State: Texas
ZIP Code: 76301-2245
Phone: (940) 767-5145

Authorized Official

Name: AHMED A MATTAR, MD
Title: PROGRAM DIRECTOR
Phone: (940) 767-5145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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