MEDICARE: NATIONAL PHYSICIANS SERVICES LLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1053070904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL PHYSICIANS SERVICES LLC

Provider Business Mailing Address
First Line	:	10375 RICHMOND AVE STE 700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4165
Country	:	US
Telephone Number	:	713-337-3016
Fax Number	:

Provider Business Practice Location Address
First Line	:	10375 RICHMOND AVE STE 700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4165
Country	:	US
Telephone Number	:	713-337-3016
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KARIM SALAMATIAN
Credential	:
Telephone Number	:	713-337-3016

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	12/08/2021

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Directions to “NATIONAL PHYSICIANS SERVICES LLC ” Practice Location

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