Provider Demographics
NPI:1457490286
Name:SURE CARE HEALTH ASSOCIATES PA
Entity Type:Organization
Organization Name:SURE CARE HEALTH ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKHASHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-461-9194
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:SUITE 785
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2575
Mailing Address - Country:US
Mailing Address - Phone:713-461-9194
Mailing Address - Fax:713-461-7899
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 785
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2575
Practice Address - Country:US
Practice Address - Phone:713-461-9194
Practice Address - Fax:713-461-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1424665-07Medicaid
TXL1742OtherTEXAS LICENSE NUMBER
TXPO118891OtherDPS NUMBER
TX1794885-01Medicaid
TX1794885-01Medicaid
TXBS4947416OtherDEA NUMBER
TX8F2659Medicare ID - Type UnspecifiedMEDICARE
TX00W321Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER