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NPI Code Detail

MEDICARE: DR. JAMAL A RAZZACK M.D.

MEDICARE: DR. JAMAL A RAZZACK 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
1207RP1001XPulmonary Disease PhysicianK4205TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7290014706OTHERTXRAILROAD MEDICARE
108539B0OTHERTXMEDICARE PROVIDER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21819788OTHERTXUNITEDHEALTHCARE
33761270OTHERTXCIGNA
41629103221OTHERTXMEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES
51831192319OTHERTXNPI
610023338OTHERTXAMERIGROUP TEXAS
80050KAOTHERTXBCBS
95672615OTHERTXAETNAHEALTHCARE

General Provider Information

NPI Number : 1831192319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMAL A RAZZACK M.D.
Provider Business Mailing Address
First Line : 10837 KATY FREEWAY
Second Line : STE. 250
City : HOUSTON
State : TX
Zip : 77079-2205
Country : US
Telephone Number : 713-464-8098
Fax Number : 713-465-1921
Provider Business Practice Location Address
First Line : 10837 KATY FREEWAY
Second Line : STE. 250
City : HOUSTON
State : TX
Zip : 77079-2205
Country : US
Telephone Number : 713-464-8098
Fax Number : 713-465-1921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 06/30/2014

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