Provider Demographics
NPI:1912189556
Name:NORTHWEST FAMILY PRACTICE ASSOCIATES, PA
Entity Type:Organization
Organization Name:NORTHWEST FAMILY PRACTICE ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-550-4635
Mailing Address - Street 1:9511 HUFFMEISTER RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2865
Mailing Address - Country:US
Mailing Address - Phone:281-550-4635
Mailing Address - Fax:281-550-5544
Practice Address - Street 1:9511 HUFFMEISTER RD
Practice Address - Street 2:STE. 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2865
Practice Address - Country:US
Practice Address - Phone:281-550-4635
Practice Address - Fax:281-550-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00G50PMedicare PIN