=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952534133
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALMEDA HEALTH CENTER, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2009
-----------------------------------------------------
Last Update Date | 03/10/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13328 ALMEDA RD
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77045-6608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-413-9048
-----------------------------------------------------
Fax | 713-413-9052
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1117 POST OAK PARK DR APT F
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77027-9215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-492-3591
-----------------------------------------------------
Fax | 305-832-0519
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE MANAGER
-----------------------------------------------------
Name | JOSEPH P. COTROPIA
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 979-492-3591
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------