Provider Demographics
NPI:1679800940
Name:LINDA D. POPE, M.D.,P.A.
Entity Type:Organization
Organization Name:LINDA D. POPE, M.D.,P.A.
Other - Org Name:LINDA D. POPE-PEGRAM, MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-523-3200
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 540
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-523-3200
Mailing Address - Fax:713-523-3201
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 540
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-523-3200
Practice Address - Fax:713-523-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-07
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9969207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098524401Medicaid
TX2344514OtherAETNA
850 872OtherGREATER HOUSTON
TX00G630OtherBLUE CROSS BLUE SHIELD
TX0A5431Medicare PIN