| Bayshore Family Practitioners Pllc | |
|
2231 Center St Ste. D Deer Park TX 77536-4186 | |
| (281) 479-3670 | |
| (866) 457-4168 |
| Full Name | Bayshore Family Practitioners Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2231 Center St, Deer Park, Texas |
| Authorized Official Name and Position | Todd Evans (PRESIDENT) |
| Authorized Official Contact | 7138521500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Family Practitioners Pllc 2231 Center St Ste D Deer Park TX 77536-4186 Ph: (281) 479-3670 | Bayshore Family Practitioners Pllc 2231 Center St Ste. D Deer Park TX 77536-4186 Ph: (281) 479-3670 |
| NPI Number | 1558518241 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558518241 | NPI | - | NPPES |
| 201928301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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