1960 Family Practice, PA
Organization Active NPI Family Medicine Physician · Houston, TX
NPI 1285032839 · NPPES record last updated Dec 15, 2014
Key facts
- NPI
- 1285032839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- 1960 FAMILY PRACTICE, PA
- Practice address
- 847 Cypress Creek Pkwy
100A
Houston, TX 77090-3426 - Phone
- (281) 586-3888
- Fax
- (281) 440-2020
- NPI assigned
- Dec 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Huong Le, MD
- Title
- Authorized Offiial
- Phone
- (281) 586-3888
Corporate family (same tax ID) 4
Practitioners 1
-
Blandina Sison, MD
National Provider Directory
- Tax ID family
- 1960 Family Practice PA
Locations
847 Cypress Creek Pkwy
#100A
Houston, TX 77090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
847 Cypress Creek Pkwy
100A
Houston, TX 77090-3426
Mailing address
847 Cypress Creek Pkwy
100A
Houston, TX 77090-3426
Phone (281) 586-3888
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All providers in Houston, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.