| Southshore Family Medicine, P.a. | |
|
400 W Medical Center Blvd Ste 215 Webster TX 77598-4227 | |
| (281) 316-1033 | |
| (281) 316-1066 |
| Full Name | Southshore Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 400 W Medical Center Blvd Ste 215, Webster, Texas |
| Authorized Official Name and Position | John Thomas Cottingham (PHYSICIAN / OWNER) |
| Authorized Official Contact | 2813161033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southshore Family Medicine, P.a. 2640 E League City Pkwy Suite 114 League City TX 77573-3368 Ph: (281) 538-8000 | Southshore Family Medicine, P.a. 400 W Medical Center Blvd Ste 215 Webster TX 77598-4227 Ph: (281) 316-1033 |
| NPI Number | 1265617799 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 03/05/2025 |
| Medicare PECOS PAC ID | 1153489380 |
|---|---|
| Medicare Enrollment ID | O20081016000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265617799 | NPI | - | NPPES |
| 0045QH | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M5111 (Texas) | Primary |
| Provider Name | John Thomas Cottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194866996 PECOS PAC ID: 4688732829 Enrollment ID: I20081016000563 |
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