Provider Demographics
NPI:1942041736
Name:TEXAS FAMILY HEALTH
Entity type:Organization
Organization Name:TEXAS FAMILY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAVIS DILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-658-1979
Mailing Address - Street 1:7544 FM 1960 RD E STE 428S
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3127
Mailing Address - Country:US
Mailing Address - Phone:281-658-1979
Mailing Address - Fax:
Practice Address - Street 1:6011 GRANITE SHADOW LN
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-6881
Practice Address - Country:US
Practice Address - Phone:281-658-1979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management