Provider Demographics
NPI:1730248766
Name:DENTON FAMILY PRACTICE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:DENTON FAMILY PRACTICE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:D
Authorized Official - Last Name:ISBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:940-565-0002
Mailing Address - Street 1:1605 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3042
Mailing Address - Country:US
Mailing Address - Phone:940-565-0002
Mailing Address - Fax:940-565-9733
Practice Address - Street 1:1605 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3042
Practice Address - Country:US
Practice Address - Phone:940-565-0002
Practice Address - Fax:940-565-9733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6912207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty