1528155504 NPI number — THE INPATIENT SPECIALISTS,PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528155504 NPI number — THE INPATIENT SPECIALISTS,PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE INPATIENT SPECIALISTS,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:
1528155504
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1776 WOODSTEAD CT
Provider Second Line Business Mailing Address:
101
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77380-0995
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-419-6466
Provider Business Mailing Address Fax Number:
281-419-6470

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1776 WOODSTEAD CT
Provider Second Line Business Practice Location Address:
101
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77380-0995
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-419-6466
Provider Business Practice Location Address Fax Number:
281-419-6470
Provider Enumeration Date:
10/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAXMAN
Authorized Official First Name:
RAMA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OFFICER
Authorized Official Telephone Number:
281-419-6466

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  K6073 , 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: DG3436 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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