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SAN JACINTO FAMILY PRACTICE EDUCATION FOUNDATION NPI 1902851728


NPI Information

NPI: 1902851728
Provider Name: SAN JACINTO FAMILY PRACTICE EDUCATION FOUNDATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4301 GARTH RD
SUITE 400
BAYTOWN, TX
ZIP 77521
Phone: (281) 420-8400
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SAN JACINTO FAMILY PRACTICE EDUCATION FOUNDATION is a family medicine in Baytown, 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. SAN JACINTO FAMILY PRACTICE EDUCATION FOUNDATION NPI is 1902851728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4301 GARTH RD
SUITE 400
BAYTOWN, TX
ZIP 77521-153
Phone: (281) 420-8400
Fax: (281) 420-8480

The provider's authorized official is Stacy D Pena .
The authorized official title is Credentialing Coordinator and has the following contact phone number (281) 420-8502.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 10/31/2011.


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
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
100D977MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2091752801MEDICAIDTEXAS
3091752802OTHERTEXASEPSDT

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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