Provider Demographics
NPI:1396836516
Name:NIR BINUR, MD, PA
Entity Type:Organization
Organization Name:NIR BINUR, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:BINUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-727-3900
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ16212082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110428302Medicaid
TXE48469Medicare UPIN
TX00J72EMedicare ID - Type Unspecified