| Village Family Practice, L.l.p | |
|
9055 Katy Fwy Ste 200 Houston TX 77024-1629 | |
| (713) 461-2915 | |
| (713) 461-5307 |
| Full Name | Village Family Practice, L.l.p |
|---|---|
| Speciality | Family Medicine |
| Location | 9055 Katy Fwy, Houston, Texas |
| Authorized Official Name and Position | Clive K Fields (PARTNER) |
| Authorized Official Contact | 7134612915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Practice, L.l.p 9055 Katy Fwy Ste 200 Houston TX 77024-1629 Ph: (713) 461-2915 | Village Family Practice, L.l.p 9055 Katy Fwy Ste 200 Houston TX 77024-1629 Ph: (713) 461-2915 |
| NPI Number | 1083619191 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619191 | NPI | - | NPPES |
| 00783N | Other | TX | MEDICARE ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H6216 (Texas) | Primary |
| 207R00000X | Internal Medicine | H4289 (Texas) | Secondary |
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