Provider Demographics
NPI:1699038901
Name:THE METHODIST HOSPITAL SYSTEM
Entity Type:Organization
Organization Name:THE METHODIST HOSPITAL SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EJAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JANJUA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-946-4737
Mailing Address - Street 1:8181 FANNIN ST APT 1825
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2984
Mailing Address - Country:US
Mailing Address - Phone:516-946-4737
Mailing Address - Fax:
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-1577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital