Primary Health Network Of South Texas | |
7400 Fannin St Suite 650 Houston TX 77054-1920 | |
(713) 864-4414 | |
(713) 864-4412 |
Full Name | Primary Health Network Of South Texas |
---|---|
Speciality | Family Medicine |
Location | 7400 Fannin St, Houston, Texas |
Authorized Official Name and Position | Todd Evans (VP) |
Authorized Official Contact | 7138521550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Health Network Of South Texas 7400 Fannin St Suite 650 Houston TX 77054-1920 Ph: (713) 864-4414 | Primary Health Network Of South Texas 7400 Fannin St Suite 650 Houston TX 77054-1920 Ph: (713) 864-4414 |
NPI Number | 1740266485 |
---|---|
Provider Enumeration Date | 12/15/2005 |
Last Update Date | 07/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740266485 | NPI | - | NPPES |
1740266485 | Medicaid | TX | |
178023102 | Medicaid | TX | |
178023109 | Medicaid | TX | |
178023101 | Medicaid | TX | |
178023104 | Medicaid | TX | |
178023103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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