FAMILY HEALTHCARE AFFILIATES PLLC NPI 1366497364

NPI Information

  • NPI: 1366497364
  • Provider Name: FAMILY HEALTHCARE AFFILIATES PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D0889628
  • Address: 800 RIVERWOOD CT
    SUITE 105
    CONROE, TX
    ZIP 77304
  • Phone: (936) 760-4454

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NPI Details

FAMILY HEALTHCARE AFFILIATES PLLC is a family medicine in Conroe, 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. FAMILY HEALTHCARE AFFILIATES PLLC NPI is 1366497364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 RIVERWOOD CT
SUITE 105
CONROE, TX
ZIP 77304-890
Phone: (936) 760-4454
Fax: (936) 760-4415

The provider's authorized official is Krystal Urban .
The authorized official title is Office Manager and has the following contact phone number (936) 760-4454.

The CLIA number assigned to this NPI record is 45D0889628 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/19/2010.

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
1207Q00000XFamily 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
100994TMEDICARE ID-TYPE UNSPECIFIEDTEXAS
20088HZOTHERTEXASBCBS
3157678701MEDICAIDTEXAS

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: 11/21/2025

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