Provider Demographics
NPI:1609255967
Name:MEDAFFIRM LLC
Entity Type:Organization
Organization Name:MEDAFFIRM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-848-0863
Mailing Address - Street 1:2950 S GESSNER RD
Mailing Address - Street 2:STE 225
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3771
Mailing Address - Country:US
Mailing Address - Phone:832-848-0863
Mailing Address - Fax:
Practice Address - Street 1:2950 S GESSNER RD
Practice Address - Street 2:STE 225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3771
Practice Address - Country:US
Practice Address - Phone:832-848-0863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4193207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty