1043784887 NPI number — HOUSTON MEDICAL CONSULTANTS PA

Table of content: (NPI 1043784887)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043784887 NPI number — HOUSTON MEDICAL CONSULTANTS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSTON MEDICAL CONSULTANTS 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:
6
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:
1043784887
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1140 WESTMONT DR., STE 340
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77015-4363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-350-3929
Provider Business Mailing Address Fax Number:
832-767-5388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1140 WESTMONT DR STE 340
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77015-4363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-350-3929
Provider Business Practice Location Address Fax Number:
832-767-5388
Provider Enumeration Date:
01/15/2019

Additional Information

Authorized Official

Authorized Official Last Name:
RASHEED
Authorized Official First Name:
AMIR
Authorized Official Middle Name:
A
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
832-350-3929

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: N3264 . This is a "STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com