Healthcare Provider Details

I. General information

NPI: 1275501066
Provider Name (Legal Business Name): SHKELZEN HOXHAJ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE BAYLOR PLAZA - MS: BCM285
HOUSTON TX
77030
US

IV. Provider business mailing address

ONE BAYLOR PLAZA - MS: BCM285
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-3560
  • Fax: 713-798-6400
Mailing address:
  • Phone: 713-873-3560
  • Fax: 713-798-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM8046
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM8046
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: