Organization Name: | JUBY 786 PLLC |
NPI Number: | 1063423754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZUBEIDA SHABBAR CHARANIA (PRESIDENT) |
Mailing Address: | 6644 Southwest Fwy Houston |
State: | TX US |
Postal Code: | 770742210 |
Phone Number: | 7139777300 |
Fax Number: | 7139777308 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G9077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |