Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faith Medical Clinic, PLLC

Organization Family Nurse Practitioner · NPI 1417368168

Faith Medical Clinic, PLLC is a Family Nurse Practitioner in Canyon, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1619 4th Ave
Canyon, TX 79015-3824
Phone: (806) 557-4138
Fax: (806) 557-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1205 23rd St Ste 5, Canyon, TX 79015-5331 — (806) 557-4674

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP118557 (TX)

Record details

NPI number1417368168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Fuller — Owner · (806) 557-4138
NPI enumeratedMay 15, 2014
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing addressPo Box 1614, Canyon, TX 79015-1614

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