Provider Demographics
NPI:1093984916
Name:FAMILY PRACTICE AND ALLERGY CENTER
Entity Type:Organization
Organization Name:FAMILY PRACTICE AND ALLERGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODSON
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, PHD
Authorized Official - Phone:713-595-4325
Mailing Address - Street 1:6001 HILLCROFT ST
Mailing Address - Street 2:600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1014
Mailing Address - Country:US
Mailing Address - Phone:713-595-4325
Mailing Address - Fax:713-774-8304
Practice Address - Street 1:6001 HILLCROFT ST
Practice Address - Street 2:600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1014
Practice Address - Country:US
Practice Address - Phone:713-595-4325
Practice Address - Fax:713-774-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care