Healthcare Provider Details

I. General information

NPI: 1225148778
Provider Name (Legal Business Name): NORTH HOUSTON PHYSICIANS P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W TIDWELL RD STE 200
HOUSTON TX
77091-4356
US

IV. Provider business mailing address

PO BOX 11076
SPRING TX
77391-1076
US

V. Phone/Fax

Practice location:
  • Phone: 713-691-7490
  • Fax: 713-691-0079
Mailing address:
  • Phone: 713-691-7490
  • Fax: 713-691-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS J PALACIOS
Title or Position: OWNER
Credential: MD
Phone: 832-247-8509