Provider Demographics
NPI:1023001971
Name:TEXAS INSTITUTE FOR REPRODUCTIVE MEDICINE & ENDOCRINOLOGY PA
Entity Type:Organization
Organization Name:TEXAS INSTITUTE FOR REPRODUCTIVE MEDICINE & ENDOCRINOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNTS REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERRI
Authorized Official - Middle Name:S
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-791-1874
Mailing Address - Street 1:7400 FANNIN ST
Mailing Address - Street 2:STE 850
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1920
Mailing Address - Country:US
Mailing Address - Phone:713-791-1874
Mailing Address - Fax:713-791-1874
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:STE 850
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-791-1874
Practice Address - Fax:713-791-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00TS80Medicare PIN