Provider Demographics
NPI:1871847863
Name:FAMILY PRACTICE DOCTORS
Entity type:Organization
Organization Name:FAMILY PRACTICE DOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUKWUEMEKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ORAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-984-0303
Mailing Address - Street 1:1485 FM 1960 BYPASS EAST
Mailing Address - Street 2:100
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:203-984-0303
Mailing Address - Fax:281-394-3031
Practice Address - Street 1:1485 FM 1960 BYPASS EAST
Practice Address - Street 2:100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:203-984-0303
Practice Address - Fax:281-394-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6950207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty