MEDICARE: JOEL E NACHIMSON MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H4571	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326161746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL E NACHIMSON MD PA

Provider Business Mailing Address
First Line	:	800 PEAKWOOD DR STE 7J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2904
Country	:	US
Telephone Number	:	281-440-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 PEAKWOOD DR STE 7J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2904
Country	:	US
Telephone Number	:	281-440-1632
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JOEL E NACHIMSON
Credential	:	MD
Telephone Number	:	281-440-1632

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/16/2010

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