Fairmount Family Practice, Pllc

NPI #1801317722 in Hemphill, Texas

Provider Information

NPI Number: 1801317722
Entity Type: Organization
Organization Name: Fairmount Family Practice, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 30, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 3732 FAIRDALE RD
City: Hemphill
State: Texas
ZIP Code: 75948
Phone: (409) 579-2044

Authorized Official

Name: PRISCILLA PIPES, RHIT
Title: CREDENTIALING ADMINISTRATION
Phone: (936) 615-4265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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