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NPI Code Detail

MEDICARE: AVANT MEDICAL GROUP PA

MEDICARE: AVANT MEDICAL GROUP PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7979TX
2111N00000XChiropractor7138TX
3111N00000XChiropractor8504TX
4111N00000XChiropractor8699TX
5111N00000XChiropractor9330TX
6111N00000XChiropractor7231TX
7225100000XPhysical Therapist1135762TX
82083X0100XOccupational Medicine PhysicianK4259TX

General Provider Information

NPI Number : 1023210119
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANT MEDICAL GROUP PA
Provider Business Mailing Address
First Line : PO BOX 24809
Second Line :
City : HOUSTON
State : TX
Zip : 77229-4809
Country : US
Telephone Number : 713-378-0667
Fax Number : 713-300-9990
Provider Business Practice Location Address
First Line : 5718 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77081-5506
Country : US
Telephone Number : 713-785-2667
Fax Number : 713-785-2659
Authorized Official
Title or Position : OWNER
Name : DR. SHAHID H SYED
Credential : MD
Telephone Number : 713-378-0667
Provider Enumeration Date : 06/01/2007
Last Update Date : 08/10/2012

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Directions to “AVANT MEDICAL GROUP PA ” Practice Location

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