Provider Demographics
NPI:1396777165
Name:FAMILY PRACTICE ASSOCIATES OF HOUSTON
Entity type:Organization
Organization Name:FAMILY PRACTICE ASSOCIATES OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-240-6000
Mailing Address - Street 1:14823 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5016
Mailing Address - Country:US
Mailing Address - Phone:281-240-6000
Mailing Address - Fax:281-340-7584
Practice Address - Street 1:14823 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:281-240-6000
Practice Address - Fax:281-340-7584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
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
TX00EJ06Medicare ID - Type Unspecified
TX00T56WMedicare ID - Type Unspecified