EL SHADDAI FAMILY CLINIC LLC
Nursing at Park Blvd, Plano, TX

License number
Texas 733997
Category
Nursing
Type
Family
Owner
Name: BEENA PAUL NP-C
Title: NURSE PRACTITIONER
Phone: (469) 744-2124
Address
Address 2
900 E Park Blvd STE 280, Plano, TX 75074
10771 Keathley Dr, Frisco, TX 75035
National Provider ID: 1447680178
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EL SHADDAI FAMILY CLINIC LLC at bizstanding.com

EL SHADDAI FAMILY CLINIC LLC

15224 Edna Ln, Frisco, TX 75035

Doing business as:
El Shaddai Family Clinic LLC
Registration:
Oct 30, 2013
State ID:
0801874813
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Beena P Issac (DIRECTOR), 15224 Edna Ln, Frisco, TX 75035,Wilson Issac (DIRECTOR, Managing Member), 15224 Edna Ln, Frisco, TX 75035,Beena Paul (Managing Member)
TIN:
32052356857

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