Provider Demographics
NPI:1245567874
Name:UNIVERSITY OF TEXAS
Entity Type:Organization
Organization Name:UNIVERSITY OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INFECTIOUS DISEASE
Authorized Official - Prefix:DR
Authorized Official - First Name:FADI
Authorized Official - Middle Name:
Authorized Official - Last Name:AL AKHRASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-290-1729
Mailing Address - Street 1:7675 PHOENIX DR APT 1008
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4717
Mailing Address - Country:US
Mailing Address - Phone:281-501-8701
Mailing Address - Fax:713-745-6839
Practice Address - Street 1:6431 FANNIN ST # 2.112
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6765
Practice Address - Fax:713-500-5495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10030951282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital