| Greater Houston Family Practice Llc | |
|
320 Kingwood Executive Dr Ste B Kingwood TX 77339-2769 | |
| (346) 330-6856 | |
| Not Available |
| Full Name | Greater Houston Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Kingwood Executive Dr Ste B, Kingwood, Texas |
| Authorized Official Name and Position | Maimoona Q Nizami (OWNER) |
| Authorized Official Contact | 4633068563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Houston Family Practice Llc Po Box 540088 Houston TX 77254-0088 Ph: (713) 950-1190 | Greater Houston Family Practice Llc 320 Kingwood Executive Dr Ste B Kingwood TX 77339-2769 Ph: (346) 330-6856 |
| NPI Number | 1407676547 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 5991235293 |
|---|---|
| Medicare Enrollment ID | O20250214001957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407676547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maimoona Nizami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487971495 PECOS PAC ID: 2769612183 Enrollment ID: I20140305000536 |
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