| NPI | 1821604000 |
|---|---|
| Doing Business As | BROADWAY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KASHIF AHMED SIDDIQUI Owner 832-462-9574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-03-24 |