MEDICARE: LE CURE FAMILY PRACTICE 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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0088XC	OTHER	TX	BCBS OF TX

General Provider Information

NPI Number	:	1659658193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LE CURE FAMILY PRACTICE PA

Provider Business Mailing Address
First Line	:	10555 PEARLAND PKWY STE W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2676
Country	:	US
Telephone Number	:	713-991-7100
Fax Number	:	713-991-7103

Provider Business Practice Location Address
First Line	:	10555 PEARLAND PKWY STE W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2676
Country	:	US
Telephone Number	:	713-991-7100
Fax Number	:	713-991-7103

Authorized Official
Title or Position	:	PRESIDENT/OWNER OF PA
Name	:	AUDREY TURNER LACOUR
Credential	:	MD
Telephone Number	:	713-991-7100

Provider Enumeration Date	:	11/11/2011
Last Update Date	:	03/08/2012

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Directions to “LE CURE FAMILY PRACTICE PA ” Practice Location

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