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Contact Information

FAMILY MEDICINE & SENIOR CARE PLLC
1304 DEACON DR
COLLEGE STATION, TX77845-6405
 Phone: 979-694-3433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY MEDICINE SENIOR CARE PLLC · (Female)

NPI # 1366879405
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2013
Last updated 10/03/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # L1903
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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