Healthcare Provider Details
I. General information
NPI: 1912526997
Provider Name (Legal Business Name): OBUR HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2020
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 POST OAK BLVD STE 600
HOUSTON TX
77056-3973
US
IV. Provider business mailing address
1700 POST OAK BLVD STE 600
HOUSTON TX
77056-3973
US
V. Phone/Fax
- Phone: 713-628-5602
- Fax: 713-798-6244
- Phone: 713-628-5602
- Fax: 713-798-6244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
OMAR
BARAKAT
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 713-628-5602