Provider Demographics
NPI:1285615286
Name:THE BFS MEDICAL PARTNERS, PLLC
Entity type:Organization
Organization Name:THE BFS MEDICAL PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STOCKMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-359-7000
Mailing Address - Street 1:350 KINGWOOD MEDICAL DR # 350
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6405
Mailing Address - Country:US
Mailing Address - Phone:281-359-7000
Mailing Address - Fax:281-359-5833
Practice Address - Street 1:350 KINGWOOD MEDICAL DR # 350
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6405
Practice Address - Country:US
Practice Address - Phone:281-359-7000
Practice Address - Fax:281-359-3897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXZ000067F8Medicaid
0006FMedicare ID - Type Unspecified