1124669866 NPI number — ENDOCRINE DIABETES AND THYROID SPECIALISTS OF HOUSTON PLLC

Table of content: DONNA LYNN TAYLOR M.,A., FAAA (NPI 1982623898)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124669866 NPI number — ENDOCRINE DIABETES AND THYROID SPECIALISTS OF HOUSTON PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENDOCRINE DIABETES AND THYROID SPECIALISTS OF HOUSTON PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1124669866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2822 ALAN LAKE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77388-6098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-862-3236
Provider Business Mailing Address Fax Number:
498-628-7539

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5039 FM 2920 RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77388-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-862-3236
Provider Business Practice Location Address Fax Number:
949-862-8753
Provider Enumeration Date:
10/03/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MIRZA
Authorized Official First Name:
ZUBAIR
Authorized Official Middle Name:
B
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
713-464-7555

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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