Provider Demographics
NPI:1902667322
Name:FIRST CARE MEDICAL GROUP, PLLC
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-710-4265
Mailing Address - Street 1:180 TOWN CENTER BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-4007
Mailing Address - Country:US
Mailing Address - Phone:512-850-9143
Mailing Address - Fax:
Practice Address - Street 1:180 TOWN CENTER BLVD STE 400
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-4007
Practice Address - Country:US
Practice Address - Phone:512-850-9143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty