Providence Family Practice Pa

LBN: Providence Family Practice Pa
Providence Family Practice Pa is an health care organization with primary practice located at 9798 Bellaire Blvd Suite D, Houston TX 77036-3427. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Family Practice Pa can be contacted via phone (713) 270-7224, or through Ngo, Khanh N via phone (713) 270-7224.

Contact Information

Primary practice address
9798 Bellaire Blvd Suite D Houston TX 77036-3427
Phone: (713) 270-7224
Fax: (713) 270-0084
Website:
Map and Directions
Authorized official contact:
Name: Ngo, Khanh N Doctor of Osteopathy (DO)
Phone: (713) 270-7224

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255300612
LBN Legal business name Providence Family Practice Pa
DBA Doing business as
Authorized official Ngo, Khanh N Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 25th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255300612 NPPES
Texas MEDICAID Z4078R6

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