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NPI Code Detail

MEDICARE: PARTNERS IN PRACTICE, INC.

MEDICARE: PARTNERS IN PRACTICE, INC.
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1245319466
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERS IN PRACTICE, INC.
Provider Business Mailing Address
First Line : PO BOX 1582
Second Line :
City : RICHMOND
State : TX
Zip : 77406-1582
Country : US
Telephone Number : 281-633-2624
Fax Number : 281-633-2608
Provider Business Practice Location Address
First Line : 1517 THOMPSON RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4932
Country : US
Telephone Number : 281-344-1715
Fax Number : 281-344-1716
Authorized Official
Title or Position : ADMINISTRATION
Name : MS. KESHA ELLISON
Credential :
Telephone Number : 281-344-1715
Provider Enumeration Date : 11/06/2006
Last Update Date : 08/22/2020

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Directions to “PARTNERS IN PRACTICE, INC. ” Practice Location

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