OrganizationActive
Family Medicine & Senior Care PLLC
NPI 1366879405 · Geriatric Medicine (Family Medicine) Physician · College Station, TX
Provider details
- NPI number
- 1366879405
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ume-Haney Kakwan, Manager(979) 694-3433
- License
- L1903 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1304 Deacon Dr
College Station, TX 77845-6405
Phone: (979) 694-3433
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10890
College Station, TX 77842-0890
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.