Organization
1960 FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA BORJA (CREDENTIALING DEPARTMENT)
(281) 453-7017
Entity
Organization
Contact information
Practice address
837 CYPRESS CREEK PKWY, SUITE 105, HOUSTON, TX 77090-3423
(281) 586-3888
(281) 440-2020
Mailing address
PO BOX 4356, DEPARTMENT 667, HOUSTON, TX 77210-4356
(281) 586-3888
(281) 440-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080982401
—
TX
01
—
C16759
MEDICARE RAILROAD
TX
Enumeration date
05/26/2006
Last updated
08/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us