BAYTOWN OCCUPATIONAL & FAMILY MEDICINE P.A. NPI 1639359466

NPI Information

NPI: 1639359466
Provider Name: BAYTOWN OCCUPATIONAL & FAMILY MEDICINE P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0688583

Address:
4002 GARTH ROAD
SUITE 150
BAYTOWN, TX
ZIP 77521
Phone: (281) 420-4000
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BAYTOWN OCCUPATIONAL & FAMILY MEDICINE 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. BAYTOWN OCCUPATIONAL & FAMILY MEDICINE P.A. NPI is 1639359466. The provider is registered as an organization entity type.

The provider's business location address is:

4002 GARTH ROAD
SUITE 150
BAYTOWN, TX
ZIP 77521-114
Phone: (281) 420-4000
Fax: (281) 428-4940

The provider's authorized official is Fariborz Nazari-adli .
The authorized official title is Doctor Md. and has the following contact phone number (281) 420-4000.

The CLIA number assigned to this NPI record is 45D0688583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 1/15/2013.

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	261QP2300X	Clinic/Center	Primary Care	J7111	TEXAS	No
2	261QX0100X	Clinic/Center	Occupational Medicine	J7111	TEXAS	No
3	207Q00000X	Family Medicine		J7111	TEXAS	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	G05061	MEDICARE UPIN	TEXAS
2	210760901	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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