Healthcare Provider Details

I. General information

NPI: 1548890361
Provider Name (Legal Business Name): LLAMREI HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18220 ST HWY 249
HOUSTON TX
77070-4347
US

IV. Provider business mailing address

3230 PEMBERTON CIRCLE DR
HOUSTON TX
77025-4300
US

V. Phone/Fax

Practice location:
  • Phone: 281-737-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MR. HUMAIR MALIK
Title or Position: BILLING COORDINATOR
Credential:
Phone: 281-978-4312