| Houston Infectious Diseases Consultants Pa | |
|
605 Holderrieth Blvd Tomball TX 77375-6445 | |
| (832) 422-1316 | |
| (832) 422-1318 |
| Full Name | Houston Infectious Diseases Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 605 Holderrieth Blvd, Tomball, Texas |
| Authorized Official Name and Position | Muhammad Motiwala (PRESIDENT) |
| Authorized Official Contact | 8324221316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Infectious Diseases Consultants Pa Po Box 690565 Houston TX 77269-0565 Ph: (713) 850-1190 | Houston Infectious Diseases Consultants Pa 605 Holderrieth Blvd Tomball TX 77375-6445 Ph: (832) 422-1316 |
| NPI Number | 1790001055 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 4082739552 |
|---|---|
| Medicare Enrollment ID | O20100921000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790001055 | NPI | - | NPPES |
| 127389806 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Muhammad Janaid Motiwala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447576707 PECOS PAC ID: 7517082092 Enrollment ID: I20100921000926 |
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