1104044429 NPI number — RICHARD E. CAPLAN, M.D., F.A.C.S., P.A.

Table of content: (NPI 1104044429)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104044429 NPI number — RICHARD E. CAPLAN, M.D., F.A.C.S., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD E. CAPLAN, M.D., F.A.C.S., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104044429
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6560 FANNIN ST
Provider Second Line Business Mailing Address:
SUITE 1008
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-2761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-795-8585
Provider Business Mailing Address Fax Number:
713-795-5476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6560 FANNIN ST
Provider Second Line Business Practice Location Address:
SUITE 1008
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-795-8585
Provider Business Practice Location Address Fax Number:
713-795-5476
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CAPLAN
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-795-8585

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  F6505 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F6506 . This is a "STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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