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Organization
GRAND PARKWAY FAMILY PRACTICE CLINIC,PA
Active
Organization
GRAND PARKWAY FAMILY PRACTICE CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIM ALI M.D. (PRESIDENT)
(281) 599-9979
Entity
Organization
Contact information
Practice address
707 S FRY RD, SUITE 360, KATY, TX 77450-2256
(281) 599-9979
(281) 599-3540
Mailing address
707 S FRY RD, SUITE 360, KATY, TX 77450-2256
(281) 599-9979
(281) 599-3540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056MD
BCBS
TX
01
—
1647870
UNISYS LOUISIANA MEDICAID
LA
05
—
170792901
—
TX
05
—
170792902
—
TX
Enumeration date
03/21/2007
Last updated
09/02/2008
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