Provider Demographics
NPI:1639459555
Name:NELSON E. UZQUIANO M.D.P.A.
Entity Type:Organization
Organization Name:NELSON E. UZQUIANO M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:UZQUIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-772-4876
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 870
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-772-4876
Mailing Address - Fax:713-772-5033
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 870
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-772-4876
Practice Address - Fax:713-772-5033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7526207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098180501Medicaid