MEDICARE: DR. IRVIN SULAPAS M.D.

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	207QS0010X	Sports Medicine (Family Medicine) Physician	P9126	TX
2	207Q00000X	Family Medicine Physician	P9126	TX

General Provider Information

NPI Number	:	1366753261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRVIN SULAPAS M.D.

Provider Business Mailing Address
First Line	:	18700 KATY FWY STE 603
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8280
Fax Number	:

Provider Business Practice Location Address
First Line	:	18700 KATY FWY STE 603
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	05/25/2026

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