Provider Demographics
NPI:1124190756
Name:TELFAIR PEDIATRICS P.A.
Entity Type:Organization
Organization Name:TELFAIR PEDIATRICS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:SEHAR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-315-7606
Mailing Address - Street 1:2670 HOLLY HALL ST APT H
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4192
Mailing Address - Country:US
Mailing Address - Phone:713-315-7606
Mailing Address - Fax:281-313-1001
Practice Address - Street 1:16103 LEXINGTON BLVD STE K
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2301
Practice Address - Country:US
Practice Address - Phone:281-313-1000
Practice Address - Fax:281-313-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1451208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3569366OtherCAQH
TX3569366OtherCAQH