Provider Demographics
NPI:1417382474
Name:N & K MULTISPECIALTY LLC
Entity Type:Organization
Organization Name:N & K MULTISPECIALTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLDU
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:832-331-8450
Mailing Address - Street 1:17030 NANES DR STE 109
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2500
Mailing Address - Country:US
Mailing Address - Phone:713-873-8100
Mailing Address - Fax:713-873-8101
Practice Address - Street 1:17030 NANES DR STE 109
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2500
Practice Address - Country:US
Practice Address - Phone:713-873-8100
Practice Address - Fax:713-873-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty