Organization
FAMILY PRACTICE CENTER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KHOA HA D.O. (PRESIDENT)
93696340526
Entity
Organization
Contact information
Practice address
6 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3163
(936) 634-0526
(936) 634-0529
Mailing address
6 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3163
(936) 634-0526
(936) 634-0529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044BV
BLUECROSS BLUESHIELD
TX
01
—
CE0996
MEDICARE RAILROAD
—
Enumeration date
03/25/2007
Last updated
07/23/2007
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