Provider Demographics
NPI:1003838152
Name:HOUSTON CENTER FOR FAMILY PRACTICE & SPORTS MEDICINE, P.A.
Entity Type:Organization
Organization Name:HOUSTON CENTER FOR FAMILY PRACTICE & SPORTS MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:P
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-373-9400
Mailing Address - Street 1:14315 CYPRESS-ROSEHILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1014
Mailing Address - Country:US
Mailing Address - Phone:281-373-9400
Mailing Address - Fax:281-373-9403
Practice Address - Street 1:14315 CYPRESS-ROSEHILL RD
Practice Address - Street 2:SUITE 180
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1014
Practice Address - Country:US
Practice Address - Phone:281-373-9400
Practice Address - Fax:281-373-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8156207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6211160001Medicare NSC