Healthcare Provider Details

I. General information

NPI: 1093243693
Provider Name (Legal Business Name): NCP MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 05/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20635 KUYKENDAHL RD
SPRING TX
77379-3533
US

IV. Provider business mailing address

PO BOX 131150
SPRING TX
77393-1150
US

V. Phone/Fax

Practice location:
  • Phone: 832-844-3746
  • Fax: 888-770-6360
Mailing address:
  • Phone: 214-415-6845
  • Fax: 888-770-6360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberH9598
License Number StateTX

VIII. Authorized Official

Name: ADNAN SHAIKH
Title or Position: BILLING MANAGER
Credential:
Phone: 214-415-6845