MEDICARE: NORTHSHORE OCCUPATIONAL MEDICAL CLINIC

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	282N00000X	General Acute Care Hospital	C7757	TX

General Provider Information

NPI Number	:	1386834760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSHORE OCCUPATIONAL MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	1140 WESTMONT DR
Second Line	:	SUITE 505
City	:	HOUSTON
State	:	TX
Zip	:	77015-4366
Country	:	US
Telephone Number	:	713-453-5454
Fax Number	:	713-453-6941

Provider Business Practice Location Address
First Line	:	1140 WESTMONT DR
Second Line	:	SUITE 505
City	:	HOUSTON
State	:	TX
Zip	:	77015-4366
Country	:	US
Telephone Number	:	713-453-5454
Fax Number	:	713-453-6941

Authorized Official
Title or Position	:	HEAD DOCTOR
Name	:	DR. MAX ROTH
Credential	:	M.D.
Telephone Number	:	713-453-5454

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	07/31/2007

Similar Medicare Providers

1821017377 — DR. KIMBERLY DENISE HAWKINS M.D.
Practice Location Address:

1140 WESTMONT DR , SUITE 430
HOUSTON, TX
77015-4366

Practice Phone: 713-450-4457
Practice Fax: 713-450-4497

1437872579 — JACQUELINE BARON HURBANIS
Practice Location Address:

11750 STEEPLE WAY BLVD
HOUSTON, TX
77065-4366

Practice Phone: 281-897-4500
Practice Fax:

1427981133 — MARIA OLIVIA RIVERA
Practice Location Address:

411 SEVENHAMPTON LN
HOUSTON, TX
77015-3058

Practice Phone: 281-883-6756
Practice Fax:

1487657680 — DARSHAN P ANANDU M.D.
Practice Location Address:

1140 WESTMONT DR STE 350
HOUSTON, TX
77015-4368

Practice Phone: 713-450-3333
Practice Fax: 713-694-6066

1235132150 — EAST HOUSTON SURGERY CENTER, LLC
Practice Location Address:

12950 EAST FRWY. , SUITE 100
HOUSTON, TX
77015-5710

Practice Phone: 713-330-3887
Practice Fax: 713-330-3897

1982609111 — DR. RAFAEL CAMHI ESQUENAZI MD FACP FASN
Practice Location Address:

1140 WESTMONT DR , STE. 340
HOUSTON, TX
77015-4363

Practice Phone: 713-637-6320
Practice Fax: 713-637-0735

Directions to “NORTHSHORE OCCUPATIONAL MEDICAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.