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NPI Code Detail

MEDICARE: PERAMID MEDICAL CENTER INC

MEDICARE: PERAMID MEDICAL CENTER INC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1316204563
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERAMID MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 5959 WESTHEIMER RD STE 207
Second Line :
City : HOUSTON
State : TX
Zip : 77057-7613
Country : US
Telephone Number : 713-537-1154
Fax Number :
Provider Business Practice Location Address
First Line : 5959 WESTHEIMER RD STE 207
Second Line :
City : HOUSTON
State : TX
Zip : 77057-7613
Country : US
Telephone Number : 713-537-1154
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DANIYAR TOKTAROV
Credential :
Telephone Number : 713-537-1154
Provider Enumeration Date : 04/12/2012
Last Update Date : 04/12/2012

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Directions to “PERAMID MEDICAL CENTER INC ” Practice Location

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