| Memorial Medical Associates Pa | |
|
6565 Fannin St Houston TX 77030-2703 | |
| (281) 252-9993 | |
| Not Available |
| Full Name | Memorial Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6565 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Shouieb Tambra (PROVIDER) |
| Authorized Official Contact | 8328576669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Associates Pa Po Box 56072 Houston TX 77256-6072 Ph: (713) 426-9171 | Memorial Medical Associates Pa 6565 Fannin St Houston TX 77030-2703 Ph: (281) 252-9993 |
| NPI Number | 1942647987 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 6800039215 |
|---|---|
| Medicare Enrollment ID | O20130904000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942647987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Shouieb Tambra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154517688 PECOS PAC ID: 4981750205 Enrollment ID: I20111012000634 |
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