Short Family Medical Center PA

NPI #1609172527 in Burleson, Texas

Provider Information

NPI Number
1609172527
Entity Type
Organization
Organization Name
Short Family Medical Center PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 10, 2011
Last Updated
Feb 10, 2011

Practice Location

Address
101 NW ELLISON ST
State
Texas
ZIP Code
76028-4745
Phone
(817) 295-5200

Authorized Official

Name
DR. JACKY PAUL SHORT, D.O.
Title
PHYSICIAN
Phone
(817) 295-5200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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