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

Immanuel Family Clinic PLLC

Organization Family Nurse Practitioner · NPI 1265072490

Immanuel Family Clinic PLLC is a Family Nurse Practitioner in Carrollton, Texas. Registered with an NPI since 2020.

In the registry since
2020
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

2760 E Trinity Mills Rd Ste 115
Carrollton, TX 75006-2194
Phone: (469) 900-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1265072490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sutha Fernando — Owner · (214) 625-2808
NPI enumeratedJanuary 15, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194

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