Organization Name: | MED-CURE PRIMARY CARE PHYSICIANS PA |
NPI Number: | 1124244462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NAZMUDIN KESHWANI (OWNER) |
Mailing Address: | 11226 Southwest Fwy Houston |
State: | TX US |
Postal Code: | 770313604 |
Phone Number: | 2814987727 |
Fax Number: | 2814985293 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |