| Houston Id Physician, P.a. | |
|
837 Fm 1960 Rd W Ste 101 Houston TX 77090-3423 | |
| (281) 674-7812 | |
| Not Available |
| Full Name | Houston Id Physician, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 837 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Nabil Khoury (PRESIDENT) |
| Authorized Official Contact | 8324101464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Id Physician, P.a. 837 Fm 1960 Rd W Ste 101 Houston TX 77090-3423 Ph: (281) 674-7812 | Houston Id Physician, P.a. 837 Fm 1960 Rd W Ste 101 Houston TX 77090-3423 Ph: (281) 674-7812 |
| NPI Number | 1699076281 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 08/13/2012 |
| Medicare PECOS PAC ID | 1153505409 |
|---|---|
| Medicare Enrollment ID | O20110411000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699076281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Texas) | Primary |
| Provider Name | Nabil Khoury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053366351 PECOS PAC ID: 3274428081 Enrollment ID: I20110411000471 |
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