Provider Demographics
NPI:1699412791
Name:ACCLAIMED RHEUMATOLOGY & WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:ACCLAIMED RHEUMATOLOGY & WELLNESS CENTER PLLC
Other - Org Name:ACHYJOINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER., AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHZAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-406-1225
Mailing Address - Street 1:3600 FM 1488 RD STE 120 #201
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3818
Mailing Address - Country:US
Mailing Address - Phone:281-406-0484
Mailing Address - Fax:
Practice Address - Street 1:26103 I-45 STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-742-4923
Practice Address - Fax:269-210-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32071270618OtherTAXPAYERS ID#