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PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA NPI 1083752059


NPI Information

NPI: 1083752059
Provider Name: PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D0924527

Address:
12015 LOUETTA RD STE 100
HOUSTON, TX
ZIP 77070
Phone: (281) 664-2152
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PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA is a pediatrics in Houston, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA NPI is 1083752059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12015 LOUETTA RD STE 100
HOUSTON, TX
ZIP 77070-148
Phone: (281) 664-2152
Fax: (281) 257-3514

The provider's authorized official is Tasneem Palanpurwala .
The authorized official title is Administrator and has the following contact phone number (281) 664-2152.

The CLIA number assigned to this NPI record is 45D0924527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/2/2019.


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 MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
4208000000XPediatricsYes

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
11396715132OTHERNPI
2H26244OTHERUPIN
3035826904MEDICAIDTEXAS
41386611721OTHERNPI
51841389897OTHERTEXASNPI
6194471202MEDICAIDTEXAS
71134124779OTHERTEXASNPI
81780651133OTHERNPI
91992772990OTHERNPI
101295737286OTHERNPI
11159509205MEDICAIDTEXAS
12160185803MEDICAIDTEXAS
13I53967OTHERUPIN
14178813504MEDICAIDTEXAS
151184172462OTHERNPI
161710354907OTHERNPI
17G86571OTHERUPIN
18128256808MEDICAIDTEXAS
19130902308MEDICAIDTEXAS
201578701439OTHERNPI
211063452548OTHERNPI

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: 11/14/2023

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.