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NPI Code Detail

MEDICARE: FAMILY TREE HEALTH CLINIC P A

MEDICARE: FAMILY TREE HEALTH CLINIC P A
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 PhysicianMDTXJ9936TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10042LWOTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205907987
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY TREE HEALTH CLINIC P A
Provider Business Mailing Address
First Line : 2911 S SHORE BLVD
Second Line : SUITE 190
City : LEAGUE CITY
State : TX
Zip : 77573-3922
Country : US
Telephone Number : 281-538-8188
Fax Number : 281-538-8189
Provider Business Practice Location Address
First Line : 2911 S SHORE BLVD
Second Line : SUITE 190
City : LEAGUE CITY
State : TX
Zip : 77573-3922
Country : US
Telephone Number : 281-538-8188
Fax Number : 281-538-8189
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ALVARO FRANCISCO ZAMORA
Credential : MD
Telephone Number : 281-538-8188
Provider Enumeration Date : 11/13/2006
Last Update Date : 02/25/2014

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Directions to “FAMILY TREE HEALTH CLINIC P A ” Practice Location

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