San Jacinto Family Practice Education Foundation

LBN: San Jacinto Family Practice Education Foundation
San Jacinto Family Practice Education Foundation is an health care organization with primary practice located at 4301 Garth Rd Suite 400, Baytown TX 77521-3153. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. San Jacinto Family Practice Education Foundation can be contacted via phone (281) 420-8400, or through Pena, Stacy D via phone (281) 420-8502.

Contact Information

Primary practice address
4301 Garth Rd Suite 400 Baytown TX 77521-3153
Phone: (281) 420-8400
Fax: (281) 420-8480
Website:
Map and Directions
Authorized official contact:
Name: Pena, Stacy D
Phone: (281) 420-8502

Health care specialties

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

Profile Details

NPI number 1902851728
LBN Legal business name San Jacinto Family Practice Education Foundation
DBA Doing business as
Authorized official Pena, Stacy D
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Oct 31st, 2011 - about 15 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 1902851728 NPPES
Texas MEDICAID 091752801
Texas Other 091752802

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