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General NPI Number Information
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NPI Number | 1013968064
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Entity Type | Individual
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Provider Name | SYED S ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 8035 MEMORIAL BLVD
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City | PORT ARTHUR
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State | TX
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Zip | 77640-7002
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Country | US
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Telephone | 409-237-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 MULLINGAR WALK
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6057
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Country | US
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Telephone | 210-693-1996
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | K1769
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K1769
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License Number State | TX
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