Provider Demographics
NPI:1033142211
Name:JEFFREY H. ANNABI, M.D., P.A.
Entity Type:Organization
Organization Name:JEFFREY H. ANNABI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ANNABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-584-9800
Mailing Address - Street 1:7411 REMCON CIRCLE SUITE B1
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:915-584-9800
Mailing Address - Fax:915-584-9801
Practice Address - Street 1:4930 OSBORNE DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79922-1043
Practice Address - Country:US
Practice Address - Phone:915-584-9800
Practice Address - Fax:915-584-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8267207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX290681001Medicaid
TXTXB144842Medicare PIN