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IBN SINA COMMUNITY CLINIC PHARMACY NPI 1225630296


NPI Information

NPI: 1225630296
Provider Name: IBN SINA COMMUNITY CLINIC PHARMACY
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 45D2058724

Address:
11226 S WILCREST DR
HOUSTON, TX
ZIP 77099
Phone: (281) 977-7462
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IBN SINA COMMUNITY CLINIC PHARMACY is an adolescent medicine family medicine in Houston, TX. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. IBN SINA COMMUNITY CLINIC PHARMACY NPI is 1225630296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11226 S WILCREST DR
HOUSTON, TX
ZIP 77099
Phone: (281) 977-7462
Fax: (281) 977-7472

The provider's authorized official is Badri Tavasolian .
The authorized official title is Pharmacist and has the following contact phone number (281) 977-7462.

The CLIA number assigned to this NPI record is 45D2058724 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/13/2020.


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
1207QA0000XFamily MedicineAdolescent MedicineYes

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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