| Organization Name: | CARROLLTON FAMILY CLINIC |
| NPI Number: | 1265660864 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRADEEP PARIHAR (DIRECTOR) |
| Mailing Address: | 800 W Eldorado Pkwy Suite 102 Little Elm |
| State: | TX US |
| Postal Code: | 750685088 |
| Phone Number: | 2147277514 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2009 |
| NPI Last Update Date: | 06/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | M3680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |