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Organization

GENESIS PHYSICIAN ALLIANCE, INC

Active
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Organization

GENESIS PHYSICIAN ALLIANCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRAN MCSHAN (CREDENTIALING)
(832) 913-5032
Entity
Organization

Contact information

Practice address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-6410
(832) 712-5904
Mailing address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-6410
(832) 712-5904
(832) 913-1173

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
09/14/2015
Last updated
07/19/2016
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