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Organization
PROVIDENCE FAMILY PRACTICE PA
Active
Organization
PROVIDENCE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH N NGO DO (PRESIDENT)
(713) 270-7224
Entity
Organization
Contact information
Practice address
9798 BELLAIRE BLVD, SUITE D, HOUSTON, TX 77036-3427
(713) 270-7224
(713) 270-0084
Mailing address
9798 BELLAIRE BLVD, SUITE D, HOUSTON, TX 77036-3427
(713) 270-7224
(713) 270-0084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z4078R6
—
TX
Enumeration date
03/16/2006
Last updated
10/25/2007
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