Provider Demographics
NPI:1376763268
Name:MURLIDHAR A. AMIN, M.D., P.A.
Entity Type:Organization
Organization Name:MURLIDHAR A. AMIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MURLIDHAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:409-729-0885
Mailing Address - Street 1:2300 HWY 365
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6293
Mailing Address - Country:US
Mailing Address - Phone:409-729-0885
Mailing Address - Fax:409-729-2696
Practice Address - Street 1:2300 HWY 365
Practice Address - Street 2:SUITE 150
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6293
Practice Address - Country:US
Practice Address - Phone:409-729-0885
Practice Address - Fax:409-729-2696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164389201Medicaid
TX164389201Medicaid