MEDICARE: WEST H FAMILY CLINIC LTD

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	:	1700299781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST H FAMILY CLINIC LTD

Provider Business Mailing Address
First Line	:	2470 GRAY FALLS DR
Second Line	:	SUITE # 210
City	:	HOUSTON
State	:	TX
Zip	:	77077-6512
Country	:	US
Telephone Number	:	832-672-6191
Fax Number	:	832-672-6197

Provider Business Practice Location Address
First Line	:	2470 GRAY FALLS DR
Second Line	:	SUITE # 210
City	:	HOUSTON
State	:	TX
Zip	:	77077-6512
Country	:	US
Telephone Number	:	832-672-6191
Fax Number	:	832-672-6197

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAVID B. PARTRIDGE
Credential	:	MD
Telephone Number	:	832-672-6191

Provider Enumeration Date	:	06/06/2014
Last Update Date	:	06/06/2014

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