Organization
FAMILY PRACTICE ASSOCIATES OF ANGLETON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD VESELKA M.D. (PRESIDENT)
(979) 849-6467
Entity
Organization
Contact information
Practice address
136 E HOSPITAL DR, ANGLETON, TX 77515-4161
(979) 849-6467
Mailing address
136 E HOSPITAL DR, ANGLETON, TX 77515-4161
(979) 849-6467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS5504
MEDICARE RAILROAD
TX
Enumeration date
11/29/2005
Last updated
11/09/2007
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