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Pattison First Family Clinic LLC

Organization Active NPI Primary Care Clinic/Center · Brookshire, TX

NPI 1083089080 · NPPES record last updated Feb 6, 2024

Key facts

NPI
1083089080
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
PATTISON FIRST FAMILY CLINIC LLC
Practice address
3603 Front St
Suite: 102- 103
Brookshire, TX 77423-9845
Phone
(281) 934-4444
NPI assigned
Dec 2, 2015
Organization subpart
No

Authorized official

Name
Ms. Sandra Owolabi
Title
Family Nurse Practitioner
Phone
(281) 934-4444

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160129000613 TX Part B Supplier - Clinic/Group Practice 1355644089 Receives reassigned benefits from 1 practitioner
Practice locations: Brookshire, TX

National Provider Directory

Locations

3603 Front St
Ste 102103
Brookshire, TX 77423

3603 Front St
Ste 102
Brookshire, TX 77423
Phone (281) 934-4444

3603 Front St
Ste 103
Brookshire, TX 77423
Phone (281) 934-4444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

3603 Front St
Suite: 102- 103
Brookshire, TX 77423-9845

Mailing address

3603 Front St Ste 102-103
Brookshire, TX 77423-9845
Phone (281) 934-4444

Other providers in Brookshire, TX

All providers in Brookshire, TX · Primary Care Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.