Provider Demographics
NPI:1194578625
Name:YOU FIRST FAMILY CARE PLLC
Entity type:Organization
Organization Name:YOU FIRST FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:WRZESINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:817-614-2364
Mailing Address - Street 1:5605 WILLS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-7627
Mailing Address - Country:US
Mailing Address - Phone:817-614-2364
Mailing Address - Fax:214-279-5318
Practice Address - Street 1:5605 WILLS CREEK LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-7627
Practice Address - Country:US
Practice Address - Phone:817-614-2364
Practice Address - Fax:214-279-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285282731Medicaid