| 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 |