Provider Demographics
NPI:1225148778
Name:NORTH HOUSTON PHYSICIANS P A
Entity Type:Organization
Organization Name:NORTH HOUSTON PHYSICIANS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-691-7490
Mailing Address - Street 1:PO BOX 11076
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1076
Mailing Address - Country:US
Mailing Address - Phone:713-691-7490
Mailing Address - Fax:713-691-0079
Practice Address - Street 1:7333 NORTH FWY STE 430
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1301
Practice Address - Country:US
Practice Address - Phone:713-691-7490
Practice Address - Fax:713-691-0079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH HOUSTON PHYSICIANS P A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-30
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152256701Medicaid
TX152256701Medicaid