Organization
GENESIS PHYSICIAN ALLIANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN MCSHAN (CREDENTIALING)
(832) 913-5032
Entity
Organization
Contact information
Practice address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-6410
(832) 712-5904
Mailing address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-6410
(832) 712-5904
(832) 913-1173
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
07/19/2016
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