Provider Demographics
NPI:1265453443
Name:IMRAN BAIG MD PA
Entity Type:Organization
Organization Name:IMRAN BAIG MD PA
Other - Org Name:WOODFOREST PEDIATRIC & FAMILY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-453-4600
Mailing Address - Street 1:13018 WOODFOREST BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2775
Mailing Address - Country:US
Mailing Address - Phone:713-453-4600
Mailing Address - Fax:713-453-0719
Practice Address - Street 1:13018 WOODFOREST BLVD
Practice Address - Street 2:SUITE A & C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015
Practice Address - Country:US
Practice Address - Phone:713-453-4600
Practice Address - Fax:713-453-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10323111N00000X
TXK4361207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101927505OtherMEDICAID THSTEPS
TX101927504OtherMEDICAID TMHP