Provider Demographics
NPI:1649220815
Name:FAMILY CLINIC & WOMEN'S HEALTH, P.A.
Entity Type:Organization
Organization Name:FAMILY CLINIC & WOMEN'S HEALTH, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANYA
Authorized Official - Middle Name:ABADIR
Authorized Official - Last Name:HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-681-0616
Mailing Address - Street 1:920 MEDICAL PLAZA DR
Mailing Address - Street 2:550
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3260
Mailing Address - Country:US
Mailing Address - Phone:281-681-0616
Mailing Address - Fax:281-419-0445
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:550
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3260
Practice Address - Country:US
Practice Address - Phone:281-681-0616
Practice Address - Fax:281-419-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00292VMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER