| Fairfield Family Physicians, Pa | |
|
15201 Mason Rd #1200 Cypress TX 77433-5954 | |
| (281) 373-0162 | |
| (281) 373-0765 |
| Full Name | Fairfield Family Physicians, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 15201 Mason Rd, Cypress, Texas |
| Authorized Official Name and Position | Trung D Dinh (PRESIDENT) |
| Authorized Official Contact | 2813730162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Family Physicians, Pa 15201 Mason Rd #1200 Cypress TX 77433-5954 Ph: (281) 373-0162 | Fairfield Family Physicians, Pa 15201 Mason Rd #1200 Cypress TX 77433-5954 Ph: (281) 373-0162 |
| NPI Number | 1366549347 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 9739159328 |
|---|---|
| Medicare Enrollment ID | O20040729001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366549347 | NPI | - | NPPES |
| 0003LE | Other | BCBS | |
| 169777301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Trung Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083710271 PECOS PAC ID: 1557331147 Enrollment ID: I20040802000750 |
| Provider Name | Chiao-ya Grace Fan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114089240 PECOS PAC ID: 2769705995 Enrollment ID: I20141219001014 |
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