Provider Demographics
NPI:1093249708
Name:PARTNERS IN CARE PEDIATRICS PLLC
Entity Type:Organization
Organization Name:PARTNERS IN CARE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:FARES
Authorized Official - Last Name:ALBITAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-857-6171
Mailing Address - Street 1:7918 BROADWAY ST STE 108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7930
Mailing Address - Country:US
Mailing Address - Phone:281-857-6171
Mailing Address - Fax:346-773-4155
Practice Address - Street 1:7918 BROADWAY ST
Practice Address - Street 2:SUITE 108
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7937
Practice Address - Country:US
Practice Address - Phone:281-857-6171
Practice Address - Fax:346-773-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2364208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty