Provider Demographics
NPI:1285004457
Name:BHAISAHIB 2 PLLC
Entity Type:Organization
Organization Name:BHAISAHIB 2 PLLC
Other - Org Name:ASTER MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-762-0399
Mailing Address - Street 1:5101 AVENUE H
Mailing Address - Street 2:SUITE 23
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2025
Mailing Address - Country:US
Mailing Address - Phone:281-762-0399
Mailing Address - Fax:281-762-2036
Practice Address - Street 1:5101 AVENUE H
Practice Address - Street 2:SUITE 23
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2025
Practice Address - Country:US
Practice Address - Phone:281-762-0399
Practice Address - Fax:281-762-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3018207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty