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Organization
SPRING CYPRESS FAMILY PRACTICE, PA
Active
Organization
SPRING CYPRESS FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY C. HOGAN (BILLING MANAGER)
(936) 321-1097
Entity
Organization
Contact information
Practice address
18425 CHAMPION FOREST DR STE 200, SPRING, TX 77379-3999
(281) 376-4410
Mailing address
18425 CHAMPION FOREST DR STE 200, SPRING, TX 77379-3999
(281) 376-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045JQ
BCBS OF TEXAS GROUP NUMBE
TX
Enumeration date
08/20/2006
Last updated
04/13/2011
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