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FUQUA FAMILY PRACTICE AND URGENT CARE PA NPI 1407197247


NPI Information

NPI: 1407197247
Provider Name: FUQUA FAMILY PRACTICE AND URGENT CARE PA

Doing Business As: FUQUA FAMILY PRACTICE AND URGENT CARE PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2051631

Address:
10655 FUQUA ST # C
HOUSTON, TX
ZIP 77089
Phone: (713) 941-1566
Get Directions

FUQUA FAMILY PRACTICE AND URGENT CARE 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. FUQUA FAMILY PRACTICE AND URGENT CARE PA NPI is 1407197247. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fuqua Family Practice And Urgent Care Pa.

The provider's business location address is:

10655 FUQUA ST # C
HOUSTON, TX
ZIP 77089-403
Phone: (713) 941-1566
Fax: (713) 941-1577

The provider's authorized official is Jarrod Vincent Drab .
The authorized official title is Owner and has the following contact phone number (713) 941-1566.

The CLIA number assigned to this NPI record is 45D2051631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2013 and was last updated on 5/7/2013.


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
1207Q00000XFamily MedicineP3880TEXASYes

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
1268105OTHERTEXASMEDICARE PTAN

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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