=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023274487
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHILDREN'S DOCTORS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2008
-----------------------------------------------------
Last Update Date | 07/07/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7580 FANNIN ST 100
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-1900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-807-0029
-----------------------------------------------------
Fax | 713-529-4784
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7580 FANNIN ST 100
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-1900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-807-0029
-----------------------------------------------------
Fax | 713-529-4784
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. NEGAR VAZIRINIA
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 713-807-0029
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | J5658
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------