1841389897 NPI number — AFROZA BEGUM MD

Table of content: AFROZA BEGUM MD (NPI 1841389897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841389897 NPI number — AFROZA BEGUM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEGUM
Provider First Name:
AFROZA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1841389897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11840 FM 1960 WEST
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:
77065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-912-7044
Provider Business Mailing Address Fax Number:
832-912-7033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27721 STATE HIGHWAY 249
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
TOMBALL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77375-6411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-357-5115
Provider Business Practice Location Address Fax Number:
281-516-9466
Provider Enumeration Date:
10/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  L3575 , 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: 1346247301 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1083752059 . This is a "GROUP NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1447372123 . This is a "GROUP TX HEALTH STEP NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00J21A . This is a "GROUP MEDICARE NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 194471201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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