Provider Demographics
NPI:1194339010
Name:ALL CARE FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:ALL CARE FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:VICTORINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-408-6653
Mailing Address - Street 1:5928 SUMMERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-0436
Mailing Address - Country:US
Mailing Address - Phone:972-269-3900
Mailing Address - Fax:
Practice Address - Street 1:5928 SUMMERWOOD DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-0436
Practice Address - Country:US
Practice Address - Phone:972-269-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty