Organization
FAMILY PHYSICIAN,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH OKEFIE UZOAGA (OFFICE MANAGER)
(713) 772-5669
Entity
Organization
Contact information
Practice address
9119 S GESSNER DR, SUITE 305, HOUSTON, TX 77074-2874
(713) 772-5669
Mailing address
9119 S GESSNER DR, SUITE 305, HOUSTON, TX 77074-2874
(713) 772-5669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172746301
—
TX
Enumeration date
12/28/2007
Last updated
08/20/2013
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