| Our Family Doctor, P. A. | |
|
1919 S Shiloh Rd Ste 333 Garland TX 75042-8235 | |
| (972) 864-2050 | |
| (972) 271-3437 |
| Full Name | Our Family Doctor, P. A. |
|---|---|
| Speciality | Family Medicine |
| Location | 1919 S Shiloh Rd Ste 333, Garland, Texas |
| Authorized Official Name and Position | Jeffrey B Taylor (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9728642050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Doctor, P. A. 1919 S Shiloh Rd Ste 333 Garland TX 75042-8235 Ph: (972) 864-2050 | Our Family Doctor, P. A. 1919 S Shiloh Rd Ste 333 Garland TX 75042-8235 Ph: (972) 864-2050 |
| NPI Number | 1811172042 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 0042278657 |
|---|---|
| Medicare Enrollment ID | O20041229000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811172042 | NPI | - | NPPES |
| 0043MG | Other | TX | BCBS PIN # |
| 323049201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K6508 (Texas) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Misty G Hornsby Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689665374 PECOS PAC ID: 8325023112 Enrollment ID: I20040624000412 |
| Provider Name | Jeffrey B Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780695031 PECOS PAC ID: 0840258455 Enrollment ID: I20041230000227 |
| Provider Name | Kaylee M Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376320150 PECOS PAC ID: 7416307772 Enrollment ID: I20231228002109 |
| Provider Name | Kristyn I Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649058777 PECOS PAC ID: 5092165159 Enrollment ID: I20240102002186 |
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