PHYSICIANS DIVERSIFIED GROUP P.A. NPI 1063742039

NPI Information

NPI: 1063742039
Provider Name: PHYSICIANS DIVERSIFIED GROUP, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2802 GARTH RD
110
BAYTOWN, TX
ZIP 77521
Phone: (281) 422-5500
Get Directions

PHYSICIANS DIVERSIFIED GROUP, P.A. is a family medicine in Baytown, 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. PHYSICIANS DIVERSIFIED GROUP, P.A. NPI is 1063742039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2802 GARTH RD
110
BAYTOWN, TX
ZIP 77521-900
Phone: (281) 422-5500
Fax: (281) 422-5560

The provider's authorized official is Ghyasuddin Syed .
The authorized official title is Director and has the following contact phone number (281) 422-5500.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 4/26/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	L3493	TEXAS	No
2	207P00000X	Emergency Medicine		L3493	TEXAS	No
3	208100000X	Physical Medicine & Rehabilitation				No
4	207Q00000X	Family Medicine				Yes

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
1	L3493	OTHER	TEXAS	LICENSE 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

NPI Synchronization or Removal

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