Organization
FAMILY MEDICINE & SENIOR CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UME-HANEY KAKWAN MD (MANAGER)
(979) 694-3433
Entity
Organization
Contact information
Practice address
1304 DEACON DR, COLLEGE STATION, TX 77845-6405
(979) 694-3433
Mailing address
PO BOX 10890, COLLEGE STATION, TX 77842-0890
(979) 694-3433
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
L1903
TX
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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