Healthcare Provider Details
I. General information
NPI: 1336585397
Provider Name (Legal Business Name): NORTH HOUSTON FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2013
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25510 INTERSTATE 45 N
SPRING TX
77386-1375
US
IV. Provider business mailing address
25410 INTERSTATE 45 N STE A
SPRING TX
77386-1351
US
V. Phone/Fax
- Phone: 281-866-7701
- Fax: 281-866-7705
- Phone: 281-367-1414
- Fax: 281-363-5686
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAVI
MOPARTY
Title or Position: OWNER
Credential: M.D.
Phone: 832-326-8032