BAYSHORE PEDIATRICS NPI 1114133394

NPI Information

NPI: 1114133394
Provider Name: BAYSHORE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4024 BROOKHAVEN AVE
PASADENA, TX
ZIP 77504
Phone: (713) 944-2324
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BAYSHORE PEDIATRICS is a pediatrics in Pasadena, 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. BAYSHORE PEDIATRICS NPI is 1114133394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4024 BROOKHAVEN AVE
PASADENA, TX
ZIP 77504-902
Phone: (713) 944-2324

The provider's authorized official is Karim H Romman .
The authorized official title is President and has the following contact phone number (713) 944-2324.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/28/2011.

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	208000000X	Pediatrics				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
1	149430401	MEDICAID	TEXAS
2	149430402	MEDICAID	TEXAS
3	111822604	MEDICAID	TEXAS
4	111822602	MEDICAID	TEXAS
5	E77182	MEDICARE UPIN	TEXAS
6	1118222601	MEDICAID	TEXAS

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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