Provider Demographics
NPI:1932130689
Name:PARTNERS IN FAMILY MEDICINE, P.A.
Entity Type:Organization
Organization Name:PARTNERS IN FAMILY MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:ONLY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-819-0790
Mailing Address - Street 1:1231 LEANDER RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-8707
Mailing Address - Country:US
Mailing Address - Phone:512-819-0790
Mailing Address - Fax:512-819-0799
Practice Address - Street 1:1231 LEANDER RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-8707
Practice Address - Country:US
Practice Address - Phone:512-819-0790
Practice Address - Fax:512-819-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3053261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00672WMedicare ID - Type UnspecifiedPROVIDER #