| Family Healthcare Affiliates Pllc | |
|
800 Riverwood Ct Suite 105 Conroe TX 77304-2890 | |
| (936) 760-4454 | |
| (936) 760-4415 |
| Full Name | Family Healthcare Affiliates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Riverwood Ct, Conroe, Texas |
| Authorized Official Name and Position | Krystal Urban (OFFICE MANAGER) |
| Authorized Official Contact | 9367604454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Affiliates Pllc 800 Riverwood Ct Suite 105 Conroe TX 77304-2890 Ph: (936) 760-4454 | Family Healthcare Affiliates Pllc 800 Riverwood Ct Suite 105 Conroe TX 77304-2890 Ph: (936) 760-4454 |
| NPI Number | 1366497364 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 07/19/2010 |
| Medicare PECOS PAC ID | 7214925510 |
|---|---|
| Medicare Enrollment ID | O20040505000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366497364 | NPI | - | NPPES |
| 157678701 | Medicaid | TX | |
| 0088HZ | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kara Lea Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811984321 PECOS PAC ID: 4486642709 Enrollment ID: I20040505000428 |
| Provider Name | Maribeth Dudley Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376530758 PECOS PAC ID: 2062400369 Enrollment ID: I20101006000783 |
| Provider Name | Ashley Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023648037 PECOS PAC ID: 0345658423 Enrollment ID: I20210412000218 |
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