Organization · NPI-2
1960 Family Practice, PA
Family Medicine · Jersey Village, TX
NPI number1578952941
StatusActive
Last updated in NPPESJan 22, 2015
Details
- NPI
- 1578952941
- Entity type
- Organization (NPI-2)
- Legal business name
- 1960 Family Practice, PA
- Organization subpart
- No
- Enumeration date
- Jan 22, 2015
- Last updated
- Jan 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
20320 Northwest FwySuite 900
Jersey Village, TX 77065-5641
Phone 281-586-3888 · Fax 281-440-2020
Mailing address
20320 Northwest FwySuite 500
Jersey Village, TX 77065-5641
Phone 281-586-3888 · Fax 281-440-2020
Authorized official
Huong Le
Owner
2814537224
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