Provider Demographics
NPI:1427059716
Name:FIRST FAMILY HEALTHCARE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:FIRST FAMILY HEALTHCARE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HINSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-276-6822
Mailing Address - Street 1:2201 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7957
Mailing Address - Country:US
Mailing Address - Phone:972-276-6822
Mailing Address - Fax:972-487-4060
Practice Address - Street 1:2201 FOREST LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7957
Practice Address - Country:US
Practice Address - Phone:972-276-6822
Practice Address - Fax:972-487-4060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDOE3019302F00000X, 302R00000X, 305R00000X, 305S00000X
TXD0455302F00000X, 302R00000X, 305R00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD97400Medicare UPIN
TX00067XMedicare PIN
TXB22590Medicare UPIN