GREEN TRAILS FAMILY PRACTICE P.A. NPI 1124443023

NPI Information

NPI: 1124443023
Provider Name: GREEN TRAILS FAMILY PRACTICE, P.A.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
18400 KATY FWY
SUITE 405
HOUSTON, TX
ZIP 77094
Phone: (281) 492-8400
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GREEN TRAILS FAMILY PRACTICE, P.A. is an adult medicine family medicine in Houston, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. GREEN TRAILS FAMILY PRACTICE, P.A. NPI is 1124443023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18400 KATY FWY
SUITE 405
HOUSTON, TX
ZIP 77094-286
Phone: (281) 492-8400
Fax: (281) 492-7774

The provider's authorized official is Thomas Thang Nguyen .
The authorized official title is President and has the following contact phone number (281) 492-8400.

The enumeration date for this NPI number is 2/28/2014 and was last updated on 2/28/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	207Q00000X	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00340T	MEDICARE PIN
2	G49701	MEDICARE UPIN

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

NPI Synchronization or Removal

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