1114157476 NPI number — BEST DOCTORS CLINIC LIMITED LIABILITY COMPANY

Table of content: (NPI 1114157476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114157476 NPI number — BEST DOCTORS CLINIC LIMITED LIABILITY COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST DOCTORS CLINIC LIMITED LIABILITY COMPANY
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:
1114157476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7320 HIGHWAY 90A STE 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-3391
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-277-0220
Provider Business Mailing Address Fax Number:
281-277-0278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7320 HIGHWAY 90A
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-3390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-277-0220
Provider Business Practice Location Address Fax Number:
281-277-0278
Provider Enumeration Date:
07/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HO
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
SHEK
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
832-646-3079

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  G1676 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: G1676 , 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: G1676 . This is a "PERMIT #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com