FIRST FAMILY MEDICINE ASSOCIATION NPI 1912977158

NPI Information

NPI: 1912977158
Provider Name: FIRST FAMILY MEDICINE ASSOCIATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D0963821

Address:
1010 W BAKER RD
SUITE 105
BAYTOWN, TX
ZIP 77521
Phone: (281) 428-5542
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FIRST FAMILY MEDICINE ASSOCIATION is a primary care clinic center in Baytown, TX. FIRST FAMILY MEDICINE ASSOCIATION NPI is 1912977158. The provider is registered as an organization entity type.

The provider's business location address is:

1010 W BAKER RD
SUITE 105
BAYTOWN, TX
ZIP 77521-382
Phone: (281) 428-5542

The provider's authorized official is Kory R Guidry .
The authorized official title is Ceo and has the following contact phone number (281) 428-5542.

The CLIA number assigned to this NPI record is 45D0963821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 7/18/2007.

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
1	261QP2300X	Clinic/Center	Primary Care	K2707	TEXAS	Yes

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
1	G88503	MEDICARE UPIN	TEXAS
2	0036KB	OTHER	TEXAS	BCBS GROUP #
3	8H9358	OTHER	TEXAS	BCBS RENDERING PROV. #
4	00889U	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GROUP #
5	8A5287	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RENDERING PROV. #

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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