Provider Demographics
NPI:1700452422
Name:TRUE FAMILY CLINIC PLLC
Entity Type:Organization
Organization Name:TRUE FAMILY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:UROOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-809-3664
Mailing Address - Street 1:11555 MAGNOLIA PKWY STE 190
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2146
Mailing Address - Country:US
Mailing Address - Phone:281-809-3664
Mailing Address - Fax:832-400-2116
Practice Address - Street 1:11555 MAGNOLIA PKWY STE 190
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2146
Practice Address - Country:US
Practice Address - Phone:281-809-3664
Practice Address - Fax:832-400-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty