Provider Demographics
NPI:1003581679
Name:FAMILYMEDIX PLLC
Entity Type:Organization
Organization Name:FAMILYMEDIX PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARINAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NESHATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-505-3420
Mailing Address - Street 1:9701 RICHMOND AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9701 RICHMOND AVE STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4622
Practice Address - Country:US
Practice Address - Phone:713-715-1234
Practice Address - Fax:713-492-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-15
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty