1960 Family Practice PA
Family Medicine in Houston, TX. Organization (NPI-2).
NPI number1760438840
StatusActive
Last updated in NPPESAug 14, 2013
Details
- NPI
- 1760438840
- Entity type
- Organization (NPI-2)
- Legal business name
- 1960 Family Practice PA
- Organization subpart
- No
- Enumeration date
- May 26, 2006
- Last updated
- Aug 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
837 Cypress Creek PkwySuite 105
Houston, TX 77090-3423
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
2814537017
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