Provider Demographics
NPI:1609815687
Name:MAJDI M TAHER MD PA
Entity Type:Organization
Organization Name:MAJDI M TAHER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-621-5600
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-621-5600
Mailing Address - Fax:713-621-5613
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:STE 460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-621-5600
Practice Address - Fax:713-621-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7442703OtherAETNA
TX8X2300OtherBLUE CROSS BLUE SHEILD
TX165210905Medicaid
TX8X2300OtherBLUE CROSS BLUE SHEILD
TX165210905Medicaid