1960 Family Practice, PA
Family Medicine in The Woodlands, TX. Organization (NPI-2).
NPI number1558489773
StatusActive
Last updated in NPPESSep 11, 2013
Details
- NPI
- 1558489773
- Entity type
- Organization (NPI-2)
- Legal business name
- 1960 Family Practice, PA
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Sep 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | TX | Yes |
| 207R00000X | Internal Medicine | – | TX |
Practice location
8850 Six Pines DriveSuite 190
The Woodlands, TX 77380
Phone 281-586-3888 · Fax 281-440-2020
Mailing address
Po Box 4356Department 667
Houston, TX 77210-4356
Phone 281-586-3888 · Fax 281-440-2020
Authorized official
Ana Borja
Credentialing Department
2814537224
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