| Family Clinic - Clinica Familiar, Llc | |
|
3860 New Covington Pike Suite 101 Memphis TN 38128-2506 | |
| (901) 377-6805 | |
| (901) 377-6806 |
| Full Name | Family Clinic - Clinica Familiar, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3860 New Covington Pike, Memphis, Tennessee |
| Authorized Official Name and Position | Jose Laraya (OWNER-MEMBER) |
| Authorized Official Contact | 9012185328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic - Clinica Familiar, Llc 3860 New Covington Pike Suite 101 Memphis TN 38128-2506 Ph: (901) 377-6805 | Family Clinic - Clinica Familiar, Llc 3860 New Covington Pike Suite 101 Memphis TN 38128-2506 Ph: (901) 377-6805 |
| NPI Number | 1215292552 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 07/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215292552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD29040 (Tennessee) | Primary |
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