MEDICARE: S&D FAMILY GROUP LLC

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

General Provider Information

NPI Number	:	1669305223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&D FAMILY GROUP LLC

Provider Business Mailing Address
First Line	:	420 W 34TH ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-7614
Country	:	US
Telephone Number	:	832-649-5955
Fax Number	:	832-649-5958

Provider Business Practice Location Address
First Line	:	4520 W 34TH ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-5938
Country	:	US
Telephone Number	:	832-649-5955
Fax Number	:	832-649-5958

Authorized Official
Title or Position	:	OWNER
Name	:	TERRY BANH
Credential	:
Telephone Number	:	832-679-5955

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “S&D FAMILY GROUP LLC ” Practice Location

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