1225573850 NPI number — HIGHTECH SURGICAL ASSOCIATES PLLC

Table of content: (NPI 1225573850)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225573850 NPI number — HIGHTECH SURGICAL ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIGHTECH SURGICAL ASSOCIATES PLLC
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:
1225573850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 690926
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:
77269-0926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-653-6544
Provider Business Mailing Address Fax Number:
888-770-6360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13323 DOTSON RD
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77070-4548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-653-6544
Provider Business Practice Location Address Fax Number:
888-770-6360
Provider Enumeration Date:
01/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
WADIWALA
Authorized Official First Name:
IRFAN
Authorized Official Middle Name:
I
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
713-732-7741

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  N0535 , 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)





Copyright © 2007-2025 www.npivalidator.com