1548214950 NPI number — THE CENTER FOR FAMILY MEDICINE,WELLNESS & AESTHETICS P.A.

Table of content: (NPI 1548214950)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548214950 NPI number — THE CENTER FOR FAMILY MEDICINE,WELLNESS & AESTHETICS P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CENTER FOR FAMILY MEDICINE,WELLNESS & AESTHETICS P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548214950
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3202 ACORN WOOD WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77059-3174
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-488-8949
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 N TEXAS AVE
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
WEBSTER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77598-4959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-827-1973
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TRIPATHY
Authorized Official First Name:
ASHOK
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-235-8348

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  H8554 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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