Organization · NPI-2

1960 Family Practice, PA

Family Medicine · Spring, TX

NPI number1932599008
StatusActive
Last updated in NPPESJan 28, 2015

Details

NPI
1932599008
Entity type
Organization (NPI-2)
Legal business name
1960 Family Practice, PA
Organization subpart
No
Enumeration date
Jan 28, 2015
Last updated
Jan 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––

Practice location

5039 Fm 2920 Rd
Spring, TX 77388-3114

Phone 281-586-3888 · Fax 281-440-2020

Mailing address

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

Phone 281-586-3888 · Fax 281-440-2020

Authorized official

Huong Le
Owner
2814537224

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