1960 FAMILY PRACTICE, PA

NPI 1578952941 Active Family Medicine

Quick Facts

NPI Number

1578952941

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2015-01-22

Last Updated (NPPES)

2015-01-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Other Taxonomies

Internal Medicine

Practice Address

20320 NORTHWEST FWY
SUITE 900
JERSEY VILLAGE, TX 770655641

Phone: 281-586-3888

Fax: 281-440-2020

Mailing Address

20320 NORTHWEST FWY
JERSEY VILLAGE, TX 770655641

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.