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Organization
HERITAGE FAMILY CLINIC
Active
Organization
HERITAGE FAMILY CLINIC
Active
Parent organization
HERITAGE FAMILY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE FAMILY CLINIC
Authorized official
ANN AJOYAT BAKAMA FNP-C (PRESIDENT/OWNER)
(832) 515-9903
Entity
Organization
Contact information
Practice address
11850 FM 1960 RD W, HOUSTON, TX 77065-3840
(832) 515-9903
Mailing address
20923 KINGSLAND BLVD, KATY, TX 77450-5548
(832) 515-9903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP123192
TX
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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