MEDICARE: INTERNATIONAL MEDICAL CLINICS PLLC

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	:	1437834389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNATIONAL MEDICAL CLINICS PLLC

Provider Business Mailing Address
First Line	:	10656 JONES RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-4214
Country	:	US
Telephone Number	:	504-858-1304
Fax Number	:

Provider Business Practice Location Address
First Line	:	10656 JONES RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-4214
Country	:	US
Telephone Number	:	504-858-1304
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZUNAIRA GUL
Credential	:
Telephone Number	:	504-858-1304

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	07/10/2023

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