1710996061 NPI number — HOUSTON UROLOGY PARTNERS P.A.

Table of content: (NPI 1710996061)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710996061 NPI number — HOUSTON UROLOGY PARTNERS P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSTON UROLOGY PARTNERS P.A.
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:
1710996061
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5175
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:
77262-5175
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-861-9990
Provider Business Mailing Address Fax Number:
713-861-9991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2724 YALE ST
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:
77008-2120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-861-9990
Provider Business Practice Location Address Fax Number:
713-861-9991
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PANDYA
Authorized Official First Name:
PULIN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESEDENT
Authorized Official Telephone Number:
713-861-9990

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 040433702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1558330498 . This is a "NPI DR. PANDYA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 031601002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 115335503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116321405 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 169817701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 169815101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1740225960 . This is a "NPI DR FELDMAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 45D1047195 . This is a "CLIA ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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