Provider Demographics
NPI:1356470827
Name:FAMILY HEALTHCARE GROUP, INC.
Entity type:Organization
Organization Name:FAMILY HEALTHCARE GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:N
Authorized Official - Last Name:UBANI
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:713-981-0400
Mailing Address - Street 1:8313 SOUTHWEST FWY
Mailing Address - Street 2:SUITE #109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1611
Mailing Address - Country:US
Mailing Address - Phone:713-981-0400
Mailing Address - Fax:713-773-9088
Practice Address - Street 1:8313 SOUTHWEST FWY
Practice Address - Street 2:SUITE #109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1611
Practice Address - Country:US
Practice Address - Phone:713-981-0400
Practice Address - Fax:713-773-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677871Medicare NSC