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THRITY DESAI MD PA NPI 1104022060


NPI Information

NPI: 1104022060
Provider Name: THRITY DESAI MD PA

Doing Business As: NORTHWEST PEDIATRIC CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0892427

Address:
4560 FM 1960 RD W STE 101
HOUSTON, TX
ZIP 77069
Phone: (281) 444-0000
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THRITY DESAI MD PA is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THRITY DESAI MD PA NPI is 1104022060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Pediatric Clinic.

The provider's business location address is:

4560 FM 1960 RD W STE 101
HOUSTON, TX
ZIP 77069-628
Phone: (281) 444-0000
Fax: (281) 444-6158

The provider's authorized official is Thrity B Desai .
The authorized official title is Doctor and has the following contact phone number (281) 444-0000.

The CLIA number assigned to this NPI record is 45D0892427 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 11/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG9088TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922056183MEDICAIDTEXAS
2F79765MEDICARE UPINTEXAS
31104022060MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.