Provider Demographics
NPI:1508686775
Name:F & K FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:F & K FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:KENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-656-8769
Mailing Address - Street 1:5900 BALCONES DR # 16875
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:832-656-8769
Mailing Address - Fax:
Practice Address - Street 1:18350 TIMBER FOREST DR # 200
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2957
Practice Address - Country:US
Practice Address - Phone:832-656-8769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124610712OtherNPI