1960 Family Practice, PA
NPI #1578952941 in Jersey Village, Texas
Provider Information
- NPI Number
- 1578952941
- Entity Type
- Organization
- Organization Name
- 1960 Family Practice, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 20320 NORTHWEST FWY
- Address 2
- SUITE 900
- City
- Jersey Village
- State
- Texas
- ZIP Code
- 77065-5641
- Phone
- (281) 586-3888
Authorized Official
- Name
- HUONG LE, M.D
- Title
- OWNER
- Phone
- (281) 453-7224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Family Medicine |
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| Micah Ryan Bosley, M.D. | |
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| Texas Managerial Medical Services, LLC | |
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