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NPI Code Detail

MEDICARE: CAPITAL INFECTIOUS DISEASE ASSOCIATES

MEDICARE: CAPITAL INFECTIOUS DISEASE ASSOCIATES
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
1207RI0200XInfectious Disease PhysicianN4903TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N4903OTHERTXTX LICENSE NUMBER

General Provider Information

NPI Number : 1881990786
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITAL INFECTIOUS DISEASE ASSOCIATES
Provider Business Mailing Address
First Line : P.O. BOX 16461
Second Line :
City : SUGAR LAND
State : TX
Zip : 77496
Country : US
Telephone Number : 832-886-4994
Fax Number : 800-559-8401
Provider Business Practice Location Address
First Line : 6903 BRISBANE CT STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-6845
Country : US
Telephone Number : 832-886-4994
Fax Number : 800-559-8401
Authorized Official
Title or Position : CREDENTIALING ADMINISTRATOR
Name : MRS. SONAL R PATEL
Credential :
Telephone Number : 281-703-9990
Provider Enumeration Date : 02/10/2011
Last Update Date : 05/04/2026

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