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NPI Code Detail

MEDICARE: FORT BEND FAMILY HEALTH CENTER, INC

MEDICARE: FORT BEND FAMILY HEALTH CENTER, INC
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
1207V00000XObstetrics & Gynecology Physician
2261QM1300XMulti-Specialty Clinic/Center
3261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972601169
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT BEND FAMILY HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number : 281-342-3832
Provider Business Practice Location Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number : 281-342-3832
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MICHAEL DOTSON
Credential :
Telephone Number : 281-342-4530
Provider Enumeration Date : 09/20/2006
Last Update Date : 04/20/2021

Similar Medicare Providers

1831050772 — FORT BEND FAMILY HEALTH CENTER, INC.
Practice Location Address:
400 AUSTIN ST
RICHMOND, TX
77469-4406
Practice Phone: 281-342-4530
Practice Fax:
1053313569 — MELANIE D DEGROOT M.D.
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77469-4406
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1659349629 — MARY ANN NEELEY PHD, FNP, RN
Practice Location Address:
400 AUSTIN ST
RICHMOND, TX
77469-4406
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1639278773 — MRS. LACINDY VASHON DELVALLE MD
Practice Location Address:
400 AUSTIN ST
RICHMOND, TX
77469-4406
Practice Phone: 281-342-4530
Practice Fax:
1407956428 — JIMMY D ROBERTSON M.D.
Practice Location Address:
400 AUSTIN ST
RICHMOND, TX
77469-4406
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Practice Fax: 281-342-3832
1376642389 — MICHAEL S LAWSON M.D.
Practice Location Address:
400 AUSTIN ST
RICHMOND, TX
77469-4406
Practice Phone: 281-342-4530
Practice Fax: 281-342-3832

Directions to “FORT BEND FAMILY HEALTH CENTER, INC ” Practice Location

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