VILLAGEMD OF SOUTHEAST TEXAS PA NPI 1841643327

NPI Information

VILLAGEMD OF SOUTHEAST TEXAS, PA is a family medicine in Pearland, 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. VILLAGEMD OF SOUTHEAST TEXAS, PA NPI is 1841643327. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6122 BROADWAY ST
PEARLAND, TX
ZIP 77581-804
Phone: (713) 461-2915
Fax: (713) 461-5307

The provider's authorized official is Wendy Lee Rubas .
The authorized official title is General Counsel and has the following contact phone number (312) 465-7898.

The CLIA number assigned to this NPI record is 45D2173767 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 1/24/2023.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.