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General NPI Number Information
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NPI Number | 1609967678
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Entity Type | Organization
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Legal Business Name | AFFILIATES OF FAMILY MEDICINE PA
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 503 MEDICAL CENTER BLVD STE 100
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City | CONROE
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State | TX
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Zip | 77304-2928
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Country | US
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Telephone | 936-788-1060
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Fax | 936-788-2844
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Provider Business Mailing Address
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Address Line | 503 MEDICAL CENTER BLVD STE 100
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City | CONROE
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State | TX
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Zip | 77304-2928
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Country | US
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Telephone | 936-788-1060
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Fax | 936-788-2844
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Authorized Official
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Title or Position | PRESIDENT
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Name | LETICIA GARCIA-SEAY M.D.
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Credential | MD
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Telephone | 936-788-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L1050
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K2023
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License Number State | TX
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