| Genesis Physician Alliance, Inc | |
|
2717 Commercial Center Blvd Ste E200 Katy TX 77494-6410 | |
| (832) 712-5904 | |
| Not Available |
| Full Name | Genesis Physician Alliance, Inc |
|---|---|
| Speciality | General Practice |
| Location | 2717 Commercial Center Blvd Ste E200, Katy, Texas |
| Authorized Official Name and Position | Fran Mcshan (CREDENTIALING) |
| Authorized Official Contact | 8329135032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Physician Alliance, Inc 2717 Commercial Center Blvd Ste E200 Katy TX 77494-6410 Ph: (832) 712-5904 | Genesis Physician Alliance, Inc 2717 Commercial Center Blvd Ste E200 Katy TX 77494-6410 Ph: (832) 712-5904 |
| NPI Number | 1891163366 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891163366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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