MEDICARE: FAMILYCARE PEDIATRIC 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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1841318987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILYCARE PEDIATRIC P.A

Provider Business Mailing Address
First Line	:	12060 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-933-7900
Fax Number	:	281-933-7999

Provider Business Practice Location Address
First Line	:	12060 BELLAIRE BLVD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-933-7900
Fax Number	:	281-933-7999

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. LAUREN NGUYEN
Credential	:
Telephone Number	:	281-933-7900

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	09/11/2025

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