Provider Demographics
NPI:1902218555
Name:KATY FAMILY PHYSICIANS PA
Entity Type:Organization
Organization Name:KATY FAMILY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DILAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AJANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-344-2335
Mailing Address - Street 1:21406 PROVINCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7587
Mailing Address - Country:US
Mailing Address - Phone:281-344-2335
Mailing Address - Fax:832-437-5495
Practice Address - Street 1:21406 PROVINCIAL BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7587
Practice Address - Country:US
Practice Address - Phone:281-344-2335
Practice Address - Fax:832-437-5495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty