Provider Demographics
NPI:1558865832
Name:MURTAZA ARIF PLLC
Entity Type:Organization
Organization Name:MURTAZA ARIF PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURTAZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-339-8568
Mailing Address - Street 1:410 W GRAND PKWY S STE 4B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8361
Mailing Address - Country:US
Mailing Address - Phone:832-437-8619
Mailing Address - Fax:832-437-2958
Practice Address - Street 1:410 W GRAND PKWY S STE 4B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8361
Practice Address - Country:US
Practice Address - Phone:832-437-8619
Practice Address - Fax:832-437-2958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5339207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty