Healthcare Provider Details
I. General information
NPI: 1740924604
Provider Name (Legal Business Name): OPREX MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2022
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12121 RICHMOND AVE STE 104
HOUSTON TX
77082-2420
US
IV. Provider business mailing address
12121 RICHMOND AVE STE 104
HOUSTON TX
77082-2420
US
V. Phone/Fax
- Phone: 281-920-5558
- Fax: 281-920-5568
- Phone: 281-920-5558
- Fax: 281-920-5568
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YS0012X |
| Taxonomy | Sleep Medicine (Otolaryngology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAZA
PASHA
Title or Position: OWNER/MANAGING PHYSICIAN
Credential: MD
Phone: 281-920-5558