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FORT BEND INTERNAL MEDICINE AND PEDIATRICS P.A. NPI 1477604775


NPI Information

NPI: 1477604775
Provider Name: FORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4646 RIVERSTONE BLVD
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 208-1908
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FORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A. is an internal medicine in Missouri City, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A. NPI is 1477604775. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4646 RIVERSTONE BLVD
MISSOURI CITY, TX
ZIP 77459-141
Phone: (281) 208-1908

The provider's authorized official is Hari Krishna Susarla .
The authorized official title is Physician and has the following contact phone number (281) 208-1908.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 7/25/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsL7205TEXASNo
2207R00000XInternal MedicineL7205TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100X519MEDICARE ID-TYPE UNSPECIFIEDTEXASHARRIS COUNTY PTAN #
200X518MEDICARE PINTEXAS
300X518MEDICARE ID-TYPE UNSPECIFIEDTEXASFORT BEND CTY GROUP PTAN#
40094PDOTHERTEXASBC BS PROVIDER NUMBER

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: 5/5/2024

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