| Doctors For The Family P A | |
|
215 Oak Dr S Ste I Lake Jackson TX 77566-5618 | |
| (979) 297-5400 | |
| (979) 297-5552 |
| Full Name | Doctors For The Family P A |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Oak Dr S Ste I, Lake Jackson, Texas |
| Authorized Official Name and Position | Georgia Cherry (OFFICE MANAGER) |
| Authorized Official Contact | 9792975400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors For The Family P A 215 Oak Dr S Ste I Lake Jackson TX 77566-5618 Ph: (979) 297-5400 | Doctors For The Family P A 215 Oak Dr S Ste I Lake Jackson TX 77566-5618 Ph: (979) 297-5400 |
| NPI Number | 1962536367 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 6901075720 |
|---|---|
| Medicare Enrollment ID | O20110812000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962536367 | NPI | - | NPPES |
| 1S3090901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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