# FAMILY & SENIOR MEDICAL CLINIC,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326295155
- **Authorized official:** BHARAT LATTHE M.D. (PARTNER)
- **Authorized official phone:** (281) 709-2555

## Contact information

- **Practice address:** 150 PINE FOREST DR, STE 110, SHENANDOAH, TX 77384-5303
- **Practice address phone:** (281) 709-2555
- **Practice address fax:** (281) 440-9915
- **Mailing address:** 150 PINE FOREST DR, STE 110, SHENANDOAH, TX 77384-5303
- **Mailing address phone:** (281) 709-2555
- **Mailing address fax:** (281) 440-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2008
- **Last updated:** 02/28/2017