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NPI Code Detail

MEDICARE: 1960 PHYSICIAN ASSOCIATES

MEDICARE: 1960 PHYSICIAN ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1215391941
Entity Type Code : Organization
Provider Name (Legal Business Name) : 1960 PHYSICIAN ASSOCIATES
Provider Business Mailing Address
First Line : 837 CYPRESS CREEK PKWY STE 105
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3422
Country : US
Telephone Number : 281-586-3888
Fax Number : 832-560-2162
Provider Business Practice Location Address
First Line : 837 CYPRESS CREEK PKWY
Second Line : SUITE 105
City : HOUSTON
State : TX
Zip : 77090-3423
Country : US
Telephone Number : 281-453-2585
Fax Number : 281-440-2020
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JENNIFER RIZVI
Credential :
Telephone Number : 281-453-7776
Provider Enumeration Date : 04/08/2016
Last Update Date : 04/09/2026

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Directions to “1960 PHYSICIAN ASSOCIATES ” Practice Location

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