1972287365 NPI number — NEW HEALTH MD OF TOMBALL PLLC

Table of content: (NPI 1972287365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972287365 NPI number — NEW HEALTH MD OF TOMBALL PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HEALTH MD OF TOMBALL 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:
1972287365
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3399 NW 72ND AVE STE 227
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33122-1359
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-698-1611
Provider Business Mailing Address Fax Number:
786-698-1632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BUILDING 888 GRAHAM DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOMBALL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77375-7683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-664-7664
Provider Business Practice Location Address Fax Number:
832-895-6103
Provider Enumeration Date:
06/14/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARELLANO
Authorized Official First Name:
CLAUDIO
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-878-3610

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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