| Kingwood Family Medicine, Pa | |
|
22751 Professional Dr Suite 1400 Kingwood TX 77339 | |
| (281) 319-8383 | |
| (281) 319-8384 |
| Full Name | Kingwood Family Medicine, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 22751 Professional Dr, Kingwood, Texas |
| Authorized Official Name and Position | Robert Stephen Grayson (PHYSICIAN) |
| Authorized Official Contact | 2813198383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingwood Family Medicine, Pa 22751 Professional Dr Suite 1400 Kingwood TX 77339 Ph: (281) 319-8383 | Kingwood Family Medicine, Pa 22751 Professional Dr Suite 1400 Kingwood TX 77339 Ph: (281) 319-8383 |
| NPI Number | 1851318729 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851318729 | NPI | - | NPPES |
| 164252201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F55555 (Texas) | Primary |
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