| Genesis Family Care, P.a. | |
|
707 S Fry Rd Ste 455 Katy TX 77450-2256 | |
| (281) 579-2035 | |
| Not Available |
| Full Name | Genesis Family Care, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 707 S Fry Rd, Katy, Texas |
| Authorized Official Name and Position | Elizabeth Alvarez (PRESIDENT) |
| Authorized Official Contact | 2815792035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Care, P.a. 707 S Fry Rd Ste 455 Katy TX 77450-2248 Ph: (281) 579-2035 | Genesis Family Care, P.a. 707 S Fry Rd Ste 455 Katy TX 77450-2256 Ph: (281) 579-2035 |
| NPI Number | 1336294925 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/17/2007 |
| Medicare PECOS PAC ID | 1355398793 |
|---|---|
| Medicare Enrollment ID | O20050407000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336294925 | NPI | - | NPPES |
| 0027MN | Other | BLUE CROSS BLUE SHIELD | |
| 761988 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7645 (Texas) | Primary |
| Provider Name | Elizabeth Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457358293 PECOS PAC ID: 6709833148 Enrollment ID: I20050407000177 |
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