Provider Demographics
NPI:1659523140
Name:AMBREEN ASLAM, M.D., PLLC
Entity Type:Organization
Organization Name:AMBREEN ASLAM, M.D., PLLC
Other - Org Name:LUV-N-CARE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER (PRIMARY)
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-237-8882
Mailing Address - Street 1:11811 FALLBROOK DR
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3507
Mailing Address - Country:US
Mailing Address - Phone:832-237-8882
Mailing Address - Fax:
Practice Address - Street 1:11811 FALLBROOK DR
Practice Address - Street 2:SUITE B-2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3507
Practice Address - Country:US
Practice Address - Phone:832-237-8882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5664208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210761702 EP1Medicaid
TX210761701Medicaid
TX210761702 EP1Medicaid
F88659Medicare UPIN