BAYSHORE FAMILY PRACTICE P.A. NPI 1659372969

NPI Information

NPI: 1659372969
Provider Name: BAYSHORE FAMILY PRACTICE P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2175529

Address:
11452 SPACE CENTER BLVD
HOUSTON, TX
ZIP 77059
Phone: (832) 775-9800
Get Directions

BAYSHORE FAMILY PRACTICE 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. BAYSHORE FAMILY PRACTICE P.A. NPI is 1659372969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11452 SPACE CENTER BLVD
HOUSTON, TX
ZIP 77059-599
Phone: (832) 775-9800
Fax: (832) 775-9820

The provider's authorized official is Thomas J. Murphy .
The authorized official title is President/owner and has the following contact phone number (832) 775-9800.

The CLIA number assigned to this NPI record is 45D2175529 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/19/2010.

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	207Q00000X	Family Medicine		00T29R	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	81Y721	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GLENDA M. GOODINE, M.D.
2	098132602	MEDICAID	TEXAS
3	00T29R	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	BAYSHORE FAMILY PRACTICE
4	098341302	MEDICAID	TEXAS
5	B22866	MEDICARE UPIN	TEXAS
6	C19727	MEDICARE UPIN	TEXAS
7	B22863	MEDICARE UPIN	TEXAS
8	87Z036	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	HAROLD WALTON, M.D.
9	G55800	MEDICARE UPIN	TEXAS
10	B87875	MEDICARE UPIN	TEXAS
11	81Y725	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MICHAEL GANNON, M.D.
12	81Y720	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	THOMAS MURPHY, M.D.
13	039836401	MEDICAID	TEXAS
14	085193301	MEDICAID	TEXAS

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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