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MAGNOLIA FIRST FAMILY MEDICINE P.A. NPI 1578666756


NPI Information

NPI: 1578666756
Provider Name: MAGNOLIA FIRST FAMILY MEDICINE P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1032478

Address:
2200 SOUTHWEST FWY
SUITE333
HOUSTON, TX
ZIP 77098
Phone: (713) 520-5450
Get Directions

MAGNOLIA FIRST FAMILY MEDICINE P.A. is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAGNOLIA FIRST FAMILY MEDICINE P.A. NPI is 1578666756. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 SOUTHWEST FWY
SUITE333
HOUSTON, TX
ZIP 77098-710
Phone: (713) 520-5450
Fax: (713) 520-5458

The provider's authorized official is Shawn D Burton .
The authorized official title is President,ceo and has the following contact phone number (713) 520-5450.

The CLIA number assigned to this NPI record is 45D1032478 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I22142MEDICARE UPINTEXAS
2169962101MEDICAIDTEXAS
38C9019MEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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