1841683489 NPI number — TEXAS PARTNERS IN MEDICINE PA

Table of content: (NPI 1841683489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841683489 NPI number — TEXAS PARTNERS IN MEDICINE PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS PARTNERS IN MEDICINE PA
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:
1841683489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9720 COIT RD
Provider Second Line Business Mailing Address:
SUITE 220-323
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75025-5833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-685-6050
Provider Business Mailing Address Fax Number:
888-770-6360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
431 STACY RD
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75069-8741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-385-9898
Provider Business Practice Location Address Fax Number:
888-770-6360
Provider Enumeration Date:
03/06/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
YOUNAS
Authorized Official First Name:
BABER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
917-685-6050

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  J9311 , 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)