National Provider Identifier Database

AFCC AFFINITY FAMILY CARE CLINIC
Family


Contact Information

AFCC-AFFINITY FAMILY CARE CLINIC
19115 FM 2252 STE 18
GARDEN RIDGE, TX78266-2578
Phone: 210-247-2248
Fax: 210-368-6270
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AFCC-AFFINITY FAMILY CARE CLINIC

NPI Number 1033632443
Legal business name
LBN
AFCC-AFFINITY FAMILY CARE CLINIC
Authorized official SEAN DITTMAN - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 07/18/2017
Last updated 06/13/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: AP130293

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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