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MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A NPI 1629103221


NPI Information

NPI: 1629103221
Provider Name: MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 45D2056753

Address:
10837 KATY FWY
SUITE 250
HOUSTON, TX
ZIP 77079
Phone: (713) 464-8099
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MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A is a pulmonary disease internal medicine in Houston, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A NPI is 1629103221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10837 KATY FWY
SUITE 250
HOUSTON, TX
ZIP 77079-204
Phone: (713) 464-8099
Fax: (713) 465-1921

The provider's authorized official is Jamal A. Razzack .
The authorized official title is Physician and has the following contact phone number (713) 464-8099.

The CLIA number assigned to this NPI record is 45D2056753 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/7/2010.


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
1207RP1001XInternal MedicinePulmonary DiseaseK4205TEXASYes

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
110023338OTHERTEXASAMERIGROUP
2K4205OTHERTEXASTEXAS LICENSE
38F9180OTHERTEXASBCBS
4G17802MEDICARE UPINTEXAS
51831192319OTHERTEXASNPI
65672615OTHERTEXASAETNA
7151461401MEDICAIDTEXAS
800262TMEDICARE PINTEXAS

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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