Southshore Family Medicine, P.A. in League City - Family Medicine

Southshore Family Medicine, P.A. - NPI 1265617799

Southshore Family Medicine, P.A. is a Family Medicine in League City, Texas. Southshore Family Medicine, P.A. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Southshore Family Medicine, P.A. is 1265617799. The last update date is 2008-01-03.

Southshore Family Medicine, P.A.'s current location address is 2640 E League City Pkwy, League City, Texas. You can contact this provider via phone number 2815388000 and fax number 2815388009. The mailing address for Southshore Family Medicine, P.A. is 2640 E League City Pkwy, League City, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southshore Family Medicine, P.A.
Address 2640 E League City Pkwy, League City, Texas
Phone Number 2815388000
Fax Number 2815388009
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cottingham John
Credentials M.D.
Telephone Number 2815388000

NPI Number Detail

NPI Number 1265617799
Provider Enumeration Date 2008-01-03
Last Updated Date 2008-01-03

Provider Mailing Address Detail

Address 2640 E League City Pkwy
City League City
State Texas (TX)
Post Code 775733368
Phone Number 2815388000
Fax Number 2815388009

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M5111
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0045QH TX BC/BS

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FAQs about Southshore Family Medicine, P.A.

What is the Southshore Family Medicine, P.A.'s unique identification number?

The Southshore Family Medicine, P.A. has been assigned the NPI (National Provider Identifier) Number 1265617799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Southshore Family Medicine, P.A.'s facilities are geographically located?

The facilities of Southshore Family Medicine, P.A. are physically situated at the following location: 2640 E League City Pkwy, League City, TX, 775733368.

What is Southshore Family Medicine, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Southshore Family Medicine, P.A. is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Southshore Family Medicine, P.A. receive its 1265617799 assignment from the Centers for Medicare & Medicaid Services?

The Southshore Family Medicine, P.A. was assigned its 1265617799 on 2008-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Southshore Family Medicine, P.A. most recently updated?

The details pertaining to the Southshore Family Medicine, P.A., including its address, specialty, and other relevant information, were last refreshed on 2008-01-03.

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