Healthcare Provider Details

I. General information

NPI: 1497071955
Provider Name (Legal Business Name): PCP FOR LIFE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12015 LOUETTA RD SUITE 200
HOUSTON TX
77070-1148
US

IV. Provider business mailing address

12015 LOUETTA RD SUITE 200
HOUSTON TX
77070-1148
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-7272
  • Fax: 281-257-2211
Mailing address:
  • Phone: 281-370-7272
  • Fax: 281-257-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NAJMUDDIN K KARIMJEE
Title or Position: PRESIDENT
Credential: MD
Phone: 281-370-7272