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NPI Code Detail

MEDICARE: HOUSTON PRIMARY CARE PHYSICIANS, LLC

MEDICARE: HOUSTON PRIMARY CARE PHYSICIANS, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1497335194
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON PRIMARY CARE PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 2510 GA HIGHWAY 127
Second Line :
City : KATHLEEN
State : GA
Zip : 31047-2828
Country : US
Telephone Number : 478-352-7143
Fax Number : 478-352-7144
Provider Business Practice Location Address
First Line : 2510 GA HIGHWAY 127
Second Line :
City : KATHLEEN
State : GA
Zip : 31047-2828
Country : US
Telephone Number : 478-352-7143
Fax Number : 478-352-7144
Authorized Official
Title or Position : VP/CFO
Name : SEAN STEVEN WHILDEN
Credential :
Telephone Number : 478-542-7959
Provider Enumeration Date : 04/08/2021
Last Update Date : 09/06/2023

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Directions to “HOUSTON PRIMARY CARE PHYSICIANS, LLC ” Practice Location

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