# GENESIS PHYSICIAN ALLIANCE, INC

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

## Provider details

- **NPI number:** 1891163366
- **Authorized official:** FRAN MCSHAN (CREDENTIALING)
- **Authorized official phone:** (832) 913-5032

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 07/19/2016