Provider Demographics
NPI:1639109929
Name:JUBY 786
Entity Type:Organization
Organization Name:JUBY 786
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUBEIDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHARANIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-977-7300
Mailing Address - Street 1:6644 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2210
Mailing Address - Country:US
Mailing Address - Phone:713-977-7300
Mailing Address - Fax:713-977-7308
Practice Address - Street 1:6644 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2210
Practice Address - Country:US
Practice Address - Phone:713-977-7300
Practice Address - Fax:713-977-7308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21783Medicare UPIN