Provider Demographics
NPI:1891147344
Name:SOUTHWEST FAMILY CARE, INC
Entity Type:Organization
Organization Name:SOUTHWEST FAMILY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-940-2700
Mailing Address - Street 1:9100 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 123
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1513
Mailing Address - Country:US
Mailing Address - Phone:832-940-2700
Mailing Address - Fax:832-377-6922
Practice Address - Street 1:9100 SOUTHWEST FWY
Practice Address - Street 2:SUITE 123
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1513
Practice Address - Country:US
Practice Address - Phone:832-940-2700
Practice Address - Fax:832-377-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3450261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX514256Medicare PIN