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Organization

DOCTORS FOR THE FAMILY P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GEORGIA CHERRY (OFFICE MANAGER)
(979) 297-5400
Entity
Organization

Contact information

Practice address
215 OAK DR S STE I, LAKE JACKSON, TX 77566-5618
(979) 297-5400
(979) 297-5552
Mailing address
215 OAK DR S STE I, LAKE JACKSON, TX 77566-5618
(979) 297-5400
(979) 297-5552

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1S3090901
TX
Enumeration date
03/15/2007
Last updated
12/27/2010
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