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OCCUPATIONAL AND FAMILY MEDICINE OF SOUTH TEXAS NPI 1780639138


NPI Information

NPI: 1780639138
Provider Name: OCCUPATIONAL AND FAMILY MEDICINE OF SOUTH TEXAS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2182397

Address:
4001 PRESTON AVE
SUITE 110
PASADENA, TX
ZIP 77505
Phone: (281) 249-2273
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OCCUPATIONAL AND FAMILY MEDICINE OF SOUTH TEXAS is a family medicine in Pasadena, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OCCUPATIONAL AND FAMILY MEDICINE OF SOUTH TEXAS NPI is 1780639138. The provider is registered as an organization entity type.

The provider's business location address is:

4001 PRESTON AVE
SUITE 110
PASADENA, TX
ZIP 77505-019
Phone: (281) 249-2273
Fax: (281) 249-2123

The provider's authorized official is Todd Allen Evans .
The authorized official title is Vice President and has the following contact phone number (713) 383-9605.

The CLIA number assigned to this NPI record is 45D2182397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 4/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181947601MEDICAIDTEXAS
25914970001MEDICARE NSCTEXAS
300W455MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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