Provider Demographics
NPI:1255474540
Name:MINA K. SINACORI, MD, MPH, PA
Entity Type:Organization
Organization Name:MINA K. SINACORI, MD, MPH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINACORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-935-9100
Mailing Address - Street 1:929 GESSNER RD STE 2130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2582
Mailing Address - Country:US
Mailing Address - Phone:713-935-9100
Mailing Address - Fax:713-935-9103
Practice Address - Street 1:929 GESSNER RD STE 2130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2582
Practice Address - Country:US
Practice Address - Phone:713-935-9100
Practice Address - Fax:713-935-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4127207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155285302Medicaid
TX00340VMedicare ID - Type Unspecified
TXH63742Medicare UPIN