# 1960 FAMILY PRACTICE, PA

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

## Provider details

- **NPI number:** 1578952941
- **Authorized official:** HUONG LE M.D (OWNER)
- **Authorized official phone:** (281) 453-7224

## Contact information

- **Practice address:** 20320 NORTHWEST FWY, SUITE 900, JERSEY VILLAGE, TX 77065-5641
- **Practice address phone:** (281) 586-3888
- **Practice address fax:** (281) 440-2020
- **Mailing address:** 20320 NORTHWEST FWY, SUITE 500, JERSEY VILLAGE, TX 77065-5641
- **Mailing address phone:** (281) 586-3888
- **Mailing address fax:** (281) 440-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 01/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 080982401 | — | TX |