| Family Life Medical | |
|
508 Medical Center Blvd Suite 350 Conroe TX 77304-2953 | |
| (713) 396-3900 | |
| (936) 760-4639 |
| Full Name | Family Life Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Medical Center Blvd, Conroe, Texas |
| Authorized Official Name and Position | Judy Mcfarland (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7133963900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Medical Po Box 2727 Conroe TX 77305-2727 Ph: (713) 396-3900 | Family Life Medical 508 Medical Center Blvd Suite 350 Conroe TX 77304-2953 Ph: (713) 396-3900 |
| NPI Number | 1679997530 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 02/13/2014 |
| Medicare PECOS PAC ID | 9739312372 |
|---|---|
| Medicare Enrollment ID | O20140506000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679997530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8380 (Texas) | Primary |
| Provider Name | Kyle Lee Scarborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417045303 PECOS PAC ID: 3870688617 Enrollment ID: I20110107000984 |
| Provider Name | Thomas Evan Seymour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720541535 PECOS PAC ID: 1557697737 Enrollment ID: I20220825004316 |
| Provider Name | Gillianne Aimee' Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437869245 PECOS PAC ID: 8426429101 Enrollment ID: I20230116000753 |
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