# AFFILIATES OF FAMILY MEDICINE PA

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

## Provider details

- **NPI number:** 1609967678
- **Authorized official:** LETICIA GARCIA-SEAY M.D. MD (PRESIDENT)
- **Authorized official phone:** (936) 788-1060

## Contact information

- **Practice address:** 503 MEDICAL CENTER BLVD STE 100, CONROE, TX 77304-2928
- **Practice address phone:** (936) 788-1060
- **Practice address fax:** (936) 788-2844
- **Mailing address:** 503 MEDICAL CENTER BLVD, STE 100, CONROE, TX 77304-2928
- **Mailing address phone:** (936) 788-1060
- **Mailing address fax:** (936) 788-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K2023 | TX | Yes |
| 207Q00000X | Family Medicine Physician | L1050 | TX | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 04/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00949R | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 150961401 | — | TX |
| 05 | — | 150961402 | — | TX |
| 01 | — | CK5861 | RAILROAD MEDICARE | TX |