Organization · NPI-2

1960 Family Practice, PA

General Practice · Spring, TX

NPI number1184173221

StatusActive

Last updated in NPPESSep 30, 2016

Details

NPI: 1184173221
Entity type: Organization (NPI-2)
Legal business name: 1960 Family Practice, PA
Organization subpart: No
Enumeration date: Sep 30, 2016
Last updated: Sep 30, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	–	Yes
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
207V00000X	Obstetrics & Gynecology	–	–
207X00000X	Orthopaedic Surgery	–	–
207Y00000X	Otolaryngology	–	–
208000000X	Pediatrics	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
213E00000X	Podiatrist	–	–

Practice location

3550 Rayford Rd
Suite 110a
Spring, TX 77386-4343

Phone 281-586-3888 · Fax 281-440-2020

Mailing address

20320 Northwest Fwy
Suite 900
Jersey Village, TX 77065-5641

Phone 281-453-7232 · Fax 281-440-2020

Authorized official

Huong T Le
Owner
2815863888

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