Family Physicians Of Katy | |
707 S Fry Rd Suite 280 Katy TX 77450-2256 | |
(281) 398-5360 | |
(281) 398-5364 |
Full Name | Family Physicians Of Katy |
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Speciality | Clinic/Center |
Location | 707 S Fry Rd, Katy, Texas |
Authorized Official Name and Position | Tamara Alumbaugh Stout (DIRECTOR) |
Authorized Official Contact | 2813985360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Physicians Of Katy 707 S Fry Rd Suite 280 Katy TX 77450-2256 Ph: (281) 398-5360 | Family Physicians Of Katy 707 S Fry Rd Suite 280 Katy TX 77450-2256 Ph: (281) 398-5360 |
NPI Number | 1639378235 |
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Provider Enumeration Date | 07/13/2007 |
Last Update Date | 06/18/2008 |
Medicare PECOS PAC ID | 3173534047 |
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Medicare Enrollment ID | O20060508000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639378235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | M0935 (Texas) | Primary |
Provider Name | Tamara A Stout |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275568727 PECOS PAC ID: 6709897572 Enrollment ID: I20060508000567 |
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