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General NPI Number Information
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NPI Number | 1912977158
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Entity Type | Organization
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Legal Business Name | FIRST FAMILY MEDICINE ASSOCIATION
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 4308 GARTH RD STE C
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City | BAYTOWN
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State | TX
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Zip | 77521-3193
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Country | US
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Telephone | 281-428-5542
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Fax | 832-556-7920
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Provider Business Mailing Address
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Address Line | PO BOX 998
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City | BAYTOWN
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State | TX
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Zip | 77522-0998
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Country | US
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Telephone | 281-428-5542
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KORY R GUIDRY
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Credential | M.D.
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Telephone | 281-428-5542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K2707
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License Number State | TX
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