Provider Demographics
NPI:1093290918
Name:SEVENTH MEDICAL CARE PA
Entity Type:Organization
Organization Name:SEVENTH MEDICAL CARE PA
Other - Org Name:SEVENTH MEDICAL CARE PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-912-4260
Mailing Address - Street 1:PO BOX 841826
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0024
Mailing Address - Country:US
Mailing Address - Phone:214-912-4260
Mailing Address - Fax:
Practice Address - Street 1:11806 ARROYO SPRINGS LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7454
Practice Address - Country:US
Practice Address - Phone:214-912-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP1088OtherINTERNAL MEDICINE