| Organization Name: | MIDTOWN FAMILY CLINIC, INC. |
| NPI Number: | 1043691017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MKRTICH MIKE YEPREMIAN (CEO/PRESIDENT) |
| Mailing Address: | 2101 Crawford St Suite 208 Houston |
| State: | TX US |
| Postal Code: | 770028942 |
| Phone Number: | 7137591641 |
| Fax Number: | 7137599004 |
| NPI Enumeration Date: | 06/15/2015 |
| NPI Last Update Date: | 06/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L8304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |