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PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION NPI 1134167653


NPI Information

NPI: 1134167653
Provider Name: PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1740 W 27TH ST
HOUSTON, TX
ZIP 77008
Phone: (713) 863-1555
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PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION NPI is 1134167653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1740 W 27TH ST
HOUSTON, TX
ZIP 77008-433
Phone: (713) 863-1555

The provider's authorized official is Christopher S. Angelo .
The authorized official title is President and has the following contact phone number (713) 863-1555.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/24/2014.


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
1207Q00000XFamily MedicineD5589TEXASYes

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
100W304MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2C12886MEDICARE UPINTEXAS
38A1910OTHERTEXASBCBS
4103693101MEDICAIDTEXAS

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

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