# FAMILY PHYSICIANS AT TOWN & COUNTRY, PLLP

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

## Provider details

- **NPI number:** 1629601166
- **Authorized official:** BRENDA MORENO (CREDENTIALING REPRESENTATIVE)
- **Authorized official phone:** (713) 341-2100

## Contact information

- **Practice address:** 10497 TOWN AND COUNTRY WAY STE 360, HOUSTON, TX 77024-1143
- **Practice address phone:** (713) 341-2100
- **Practice address fax:** (713) 932-7072
- **Mailing address:** 10497 TOWN AND COUNTRY WAY STE 360, HOUSTON, TX 77024-1143
- **Mailing address phone:** (713) 341-2100
- **Mailing address fax:** (713) 932-7072

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020