Provider Demographics
NPI:1598090102
Name:PHC FAMILY CARE PLLC
Entity Type:Organization
Organization Name:PHC FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DIEN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-436-4333
Mailing Address - Street 1:1801 COUNTRY PLACE PKWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5121
Mailing Address - Country:US
Mailing Address - Phone:713-436-4333
Mailing Address - Fax:713-436-4423
Practice Address - Street 1:1801 COUNTRY PLACE PKWY
Practice Address - Street 2:SUITE 109
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5121
Practice Address - Country:US
Practice Address - Phone:713-436-4333
Practice Address - Fax:713-436-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty