NPI Profile for 1960 FAMILY PRACTICE PA in SPRING, TX.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI # | 1184173221 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/30/2016 | |
| Last updated | 09/30/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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1960 FAMILY PRACTICE, PA
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