Provider Demographics
NPI:1013550847
Name:JW FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:JW FAMILY MEDICINE, PLLC
Other - Org Name:JW FAMILY MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-815-3226
Mailing Address - Street 1:21302 PLUM GATE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1425
Mailing Address - Country:US
Mailing Address - Phone:914-815-3226
Mailing Address - Fax:
Practice Address - Street 1:6230 FM 1463
Practice Address - Street 2:SUITE 800
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441
Practice Address - Country:US
Practice Address - Phone:281-630-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty