Provider Demographics
NPI:1437185956
Name:HIGHLAND MEDICAL CENTER P.A.
Entity Type:Organization
Organization Name:HIGHLAND MEDICAL CENTER P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WASIM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-395-1617
Mailing Address - Street 1:22028D HIGHLAND KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5859
Mailing Address - Country:US
Mailing Address - Phone:281-395-1617
Mailing Address - Fax:281-395-9192
Practice Address - Street 1:22028D HIGHLAND KNOLLS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5859
Practice Address - Country:US
Practice Address - Phone:281-395-1617
Practice Address - Fax:281-395-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00966RMedicare ID - Type Unspecified
TXG47401Medicare UPIN