| Maternal And Family Clinic | |
|
1111 Medical Plaza Dr Suite 230 The Woodlands TX 77380-3476 | |
| (281) 419-1599 | |
| (281) 898-7632 |
| Full Name | Maternal And Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Medical Plaza Dr, The Woodlands, Texas |
| Authorized Official Name and Position | Fadi G Ghanem (PRESIDENT) |
| Authorized Official Contact | 2814191599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal And Family Clinic Po Box 7727 Spring TX 77387-7727 Ph: (281) 419-1599 | Maternal And Family Clinic 1111 Medical Plaza Dr Suite 230 The Woodlands TX 77380-3476 Ph: (281) 419-1599 |
| NPI Number | 1386868875 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386868875 | NPI | - | NPPES |
| 0806481-01 | Medicaid | TX | |
| 00013DM | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8071 (Texas) | Primary |
| 291U00000X | Clinical Medical Laboratory | H8071 (Texas) | Secondary |
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