| Woodlands Family Practice P.a. | |
|
1055 Evergreen Cir The Woodlands TX 77380-3602 | |
| (281) 363-3560 | |
| Not Available |
| Full Name | Woodlands Family Practice P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1055 Evergreen Cir, The Woodlands, Texas |
| Authorized Official Name and Position | David Mabry (PARTNER) |
| Authorized Official Contact | 2813633560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Family Practice P.a. 1055 Evergreen Cir The Woodlands TX 77380-3602 Ph: (281) 363-3560 | Woodlands Family Practice P.a. 1055 Evergreen Cir The Woodlands TX 77380-3602 Ph: (281) 363-3560 |
| NPI Number | 1033230602 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/26/2014 |
| Medicare PECOS PAC ID | 6002851821 |
|---|---|
| Medicare Enrollment ID | O20050831000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033230602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F8218 (Texas) | Primary |
| Provider Name | Philbert Tsuen-keat Yau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386689172 PECOS PAC ID: 1153366968 Enrollment ID: I20050622000961 |
| Provider Name | David R Mabry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609831361 PECOS PAC ID: 7012949977 Enrollment ID: I20141231000616 |
| Provider Name | Matthew D Powellson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336345487 PECOS PAC ID: 2961674858 Enrollment ID: I20150707002196 |
| Provider Name | Chad Robert Niemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023303328 PECOS PAC ID: 5991013211 Enrollment ID: I20190802002514 |
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