MEDICARE: FAMILY PHYSICIANS OF TEXAS, PA

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
1	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1538537212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PHYSICIANS OF TEXAS, PA

Provider Business Mailing Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	STE R 1
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	STE R 1
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:	281-587-1600
Fax Number	:	281-587-1601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANH M DOE
Credential	:	M.D.
Telephone Number	:	281-587-1600

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	09/11/2015

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