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General NPI Number Information
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NPI Number | 1144439209
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Entity Type | Organization
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Legal Business Name | HARRIS COUNTY
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 6300 CHIMNEY ROCK RD
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City | HOUSTON
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State | TX
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Zip | 77081-4502
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Country | US
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Telephone | 713-295-2578
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Fax | 713-295-2582
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Provider Business Mailing Address
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Address Line | 2525 MURWORTH DR
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City | HOUSTON
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State | TX
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Zip | 77054-1603
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Country | US
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Telephone | 713-394-4070
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOEL LEVINE
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Credential |
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Telephone | 713-394-4064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080I0007X
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Taxonomy Name | Pediatric Clinical & Laboratory Immunology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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