| Your Family Doctor, Pllc | |
|
123 Blue Heron Dr Ste 101 Montgomery TX 77316-3192 | |
| (936) 582-6000 | |
| (396) 448-6404 |
| Full Name | Your Family Doctor, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Blue Heron Dr Ste 101, Montgomery, Texas |
| Authorized Official Name and Position | Andrew J Davis (MEDICAL DOCTOR) |
| Authorized Official Contact | 9365826000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Doctor, Pllc 123 Blue Heron Dr Ste 101 Montgomery TX 77316-3192 Ph: (936) 582-6000 | Your Family Doctor, Pllc 123 Blue Heron Dr Ste 101 Montgomery TX 77316-3192 Ph: (936) 582-6000 |
| NPI Number | 1255847448 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255847448 | NPI | - | NPPES |
| P00390413 | Other | TX | RAILROAD MEDICARE |
| H0285 | Other | TX | LICENSE |
| 0074PA | Other | TX | BCBS OF TX |
| P003904132 | Other | TX | INDIVIDUAL NPI |
| C15085 | Other | TX | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H0285 (Texas) | Primary |
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