NPI | 1407197247 |
---|---|
Doing Business As | FUQUA FAMILY PRACTICE AND URGENT CARE PA |
Entity Type | Organization |
Authorized Contact | JARROD VINCENT DRAB Owner 713-941-1566 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3880) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2013-05-07 |