Family Physicians Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY PHYSICIANS MEDICAL CLINIC PA

Practice address

12454 Beechnut St Ste 12
Houston, TX 77072-3987

Phone

(281) 971-4099

Fax

(281) 971-4501

NPI assigned

Jun 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brendaly Garza

Title

Office Coordinator/ Managment

Phone

(713) 910-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1215420468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12454 BEECHNUT ST STE 12",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723987",
            "telephone_number": "281-971-4099",
            "fax_number": "281-971-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12454 BEECHNUT ST STE 12",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723987",
            "telephone_number": "281-971-4099",
            "fax_number": "281-971-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "BRENDALY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR/ MANAGMENT",
        "authorized_official_telephone_number": "713-910-2244"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H9415",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "address_1": "12454 Beechnut St Ste 12",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770723987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.