| NPI | 1366988412 |
|---|---|
| Doing Business As | PROVIDENCE FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER NGUYEN Business Account Manager 281-774-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-03-08 |