Provider Demographics
NPI:1346331493
Name:BINUR, NIR (MD)
Entity Type:Individual
Prefix:
First Name:NIR
Middle Name:
Last Name:BINUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 CENTRAL MALL DR
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8079
Mailing Address - Country:US
Mailing Address - Phone:409-727-3900
Mailing Address - Fax:409-727-0007
Practice Address - Street 1:8640 CENTRAL MALL DR
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8079
Practice Address - Country:US
Practice Address - Phone:409-727-3900
Practice Address - Fax:409-727-0007
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1621208200000X, 2086S0122X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110428302Medicaid
TXTXB145536OtherMEDICARE PTAN
TX110428302Medicaid