Provider Demographics
NPI:1518216050
Name:TEXAS FAMILY PRACTICE, PA
Entity Type:Organization
Organization Name:TEXAS FAMILY PRACTICE, PA
Other - Org Name:TEXAS FAMILY PRACTICE, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HUMA
Authorized Official - Middle Name:IRFAN
Authorized Official - Last Name:IFTIKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-584-9911
Mailing Address - Street 1:840 N ELDRIDGE PKWY
Mailing Address - Street 2:A-160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2704
Mailing Address - Country:US
Mailing Address - Phone:281-584-9911
Mailing Address - Fax:
Practice Address - Street 1:804 NORTH ELDRIDGE PARKWAY
Practice Address - Street 2:SUITE A-116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2702
Practice Address - Country:US
Practice Address - Phone:281-584-9911
Practice Address - Fax:281-584-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty