North Country Family Practice, PA

NPI #1790976934 in Southlake, Texas

Provider Information

NPI Number: 1790976934
Entity Type: Organization
Organization Name: North Country Family Practice, PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 5, 2007
Last Updated: Feb 17, 2010

Practice Location

Address: 1050 E. HWY. 114
Address 2: SUITE 100
City: Southlake
State: Texas
ZIP Code: 76092-5242
Phone: (817) 329-8364

Authorized Official

Name: MICHAEL W DOTTI, M.D.
Title: MEDICAL DIRECTOR
Phone: (817) 329-8364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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