Provider Demographics
NPI:1407306947
Name:PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC
Entity Type:Organization
Organization Name:PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-398-8044
Mailing Address - Street 1:1331 W GRAND PKWY NORTH
Mailing Address - Street 2:SUITE 345
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5079
Mailing Address - Country:US
Mailing Address - Phone:281-398-8044
Mailing Address - Fax:281-574-3972
Practice Address - Street 1:1331 W GRAND PKWY N STE 345
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2736
Practice Address - Country:US
Practice Address - Phone:281-398-8044
Practice Address - Fax:281-574-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4536207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP4536OtherSTATE LICENSE