Provider Demographics
NPI:1083619183
Name:POPEK, ANTHONY J (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:POPEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10497 TOWN AND COUNTRY WAY
Mailing Address - Street 2:STE 360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1143
Mailing Address - Country:US
Mailing Address - Phone:713-341-2100
Mailing Address - Fax:713-932-7072
Practice Address - Street 1:10497 TOWN AND COUNTRY WAY
Practice Address - Street 2:STE 360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1143
Practice Address - Country:US
Practice Address - Phone:713-341-2100
Practice Address - Fax:713-932-7072
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2010-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2694207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A5380Medicare PIN
TXC20597Medicare UPIN