Coppell Family Medical Center, P.a.

NPI #1649251620 in Coppell, Texas

Provider Information

NPI Number: 1649251620
Entity Type: Organization
Organization Name: Coppell Family Medical Center, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 580 S DENTON TAP RD
Address 2: #123
City: Coppell
State: Texas
ZIP Code: 75019-4098
Phone: (972) 462-0762

Authorized Official

Name: JAY C STORY, MD
Title: PRESIDENT PHYSICIAN
Phone: (972) 462-0762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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