Provider Demographics
NPI:1447124482
Name:FAMILY MEDICINE WITH SURGICAL OBSTETRICS, PLLC
Entity type:Organization
Organization Name:FAMILY MEDICINE WITH SURGICAL OBSTETRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVERRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-491-0868
Mailing Address - Street 1:5896 ESSEX CT APT 3
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5708
Mailing Address - Country:US
Mailing Address - Phone:731-630-0898
Mailing Address - Fax:901-425-9741
Practice Address - Street 1:5896 ESSEX CT APT 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5708
Practice Address - Country:US
Practice Address - Phone:731-630-0898
Practice Address - Fax:901-425-9741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty