Family & Senior Medical Clinic,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY & SENIOR MEDICAL CLINIC,PA

Practice address

150 Pine Forest Dr
Ste 110
Shenandoah, TX 77384-5303

Phone

(281) 709-2555

Fax

(281) 440-9915

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Bharat Latthe, M.D.

Title

Partner

Phone

(281) 709-2555

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bharat B Latthe MD PA

  • Family Medicine Physician
  • Shenandoah, TX
  • NPI 1053363598
  NPPES parent name

Practitioners 2

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

• Leena Chacko, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1346208279
  NPD (past)
• Avanti Latthe Gandhi, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1194010512

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1326295155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "281-709-2555",
            "fax_number": "281-440-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "281-709-2555",
            "fax_number": "281-440-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & SENIOR MEDICAL CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "LATTHE",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-709-2555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everest Internal Medicine P.a.
• Tabitha Everling
• Jennifer A Everson, M.D.
• Jane Ijeoma Onejeme Ezennaya, NP
• John M Fackler, M.D.
• Fas of TW LLC
• Jamie Faust, NP
• Samer C Faysal, FNP
• Angela Dawn Ferguson, DO
• Laura Fernandes, MD

• Family Medicine Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.