| Houston Infectious Disease Associated | |
|
6624 Fannin St Suite 1410 Houston TX 77030-2312 | |
| (713) 791-4882 | |
| (713) 791-4159 |
| Full Name | Houston Infectious Disease Associated |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 6624 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Susan J. Burgert (OWNER) |
| Authorized Official Contact | 7137914882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Infectious Disease Associated 6624 Fannin St Suite 1410 Houston TX 77030-2312 Ph: (713) 791-4882 | Houston Infectious Disease Associated 6624 Fannin St Suite 1410 Houston TX 77030-2312 Ph: (713) 791-4882 |
| NPI Number | 1770639478 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 04/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770639478 | NPI | - | NPPES |
| 00QW03 | Other | TX | BLUE CROSS |
| CS4960 | Other | TX | MEDICARE RR |
| 084604001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | H9045 (Texas) | Primary |
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