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1960 FAMILY PRACTICE PA NPI 1760438840


NPI Information

NPI: 1760438840
Provider Name: 1960 FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
837 CYPRESS CREEK PKWY
SUITE 105
HOUSTON, TX
ZIP 77090
Phone: (281) 586-3888
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1960 FAMILY PRACTICE PA 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. 1960 FAMILY PRACTICE PA NPI is 1760438840. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

837 CYPRESS CREEK PKWY
SUITE 105
HOUSTON, TX
ZIP 77090-423
Phone: (281) 586-3888
Fax: (281) 440-2020

The provider's authorized official is Ana Borja .
The authorized official title is Credentialing Department and has the following contact phone number (281) 453-7017.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/14/2013.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily 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
100674KMEDICARE PINTEXAS
2C16759OTHERTEXASMEDICARE RAILROAD
3080982401MEDICAIDTEXAS

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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