Healthcare Provider Details
I. General information
NPI: 1881742575
Provider Name (Legal Business Name): ALMOUIE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2007
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14041 NORTHWEST BLVD STE 1
CORPUS CHRISTI TX
78410-5120
US
IV. Provider business mailing address
14041 NORTHWEST BLVD STE 1
CORPUS CHRISTI TX
78410-5120
US
V. Phone/Fax
- Phone: 361-767-9963
- Fax:
- Phone: 361-767-9963
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMAD
N
ALMOUIE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 361-767-9963