San Jacinto Family Practice Education Foundation

NPI #1902851728 in Baytown, Texas

Provider Information

NPI Number: 1902851728
Entity Type: Organization
Organization Name: San Jacinto Family Practice Education Foundation
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2006
Last Updated: Oct 31, 2011

Practice Location

Address: 4301 GARTH RD
Address 2: SUITE 400
City: Baytown
State: Texas
ZIP Code: 77521-3153
Phone: (281) 420-8400

Authorized Official

Name: STACY D PENA
Title: CREDENTIALING COORDINATOR
Phone: (281) 420-8502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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