| Spring Family Practice Associates Pa | |
|
6225 Fm 2920 Suite100 Spring TX 77379-3424 | |
| (281) 257-5977 | |
| (281) 257-5966 |
| Full Name | Spring Family Practice Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6225 Fm 2920, Spring, Texas |
| Authorized Official Name and Position | Dayakar R Moparty (BILLING MANAGER) |
| Authorized Official Contact | 2812575977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Family Practice Associates Pa 6225 Fm 2920 Suite 100 Spring TX 77379-3424 Ph: (281) 257-5977 | Spring Family Practice Associates Pa 6225 Fm 2920 Suite100 Spring TX 77379-3424 Ph: (281) 257-5977 |
| NPI Number | 1356467120 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 0143393777 |
|---|---|
| Medicare Enrollment ID | O20080715000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356467120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | L6740 (Texas) | Primary |
| Provider Name | Sushma Veera Gorrela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063482321 PECOS PAC ID: 2567363690 Enrollment ID: I20040120000737 |
| Provider Name | Rafael E Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063420396 PECOS PAC ID: 4385864214 Enrollment ID: I20140927000417 |
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