Provider Demographics
NPI:1275812877
Name:BAYBROOK MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:BAYBROOK MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-922-0964
Mailing Address - Street 1:PO BOX 57159
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7159
Mailing Address - Country:US
Mailing Address - Phone:281-554-2846
Mailing Address - Fax:281-557-7981
Practice Address - Street 1:200 MEDICAL CENTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4224
Practice Address - Country:US
Practice Address - Phone:281-554-2846
Practice Address - Fax:281-557-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty