Provider Demographics
NPI:1700187952
Name:RAY ALAN VERM MD PA
Entity Type:Organization
Organization Name:RAY ALAN VERM MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:VERM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-791-1800
Mailing Address - Street 1:6560 FANNIN ST STE 1625
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2776
Mailing Address - Country:US
Mailing Address - Phone:713-791-1800
Mailing Address - Fax:713-791-1502
Practice Address - Street 1:6560 FANNIN ST STE 1625
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2776
Practice Address - Country:US
Practice Address - Phone:713-791-1800
Practice Address - Fax:713-791-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8469207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0358830-01Medicaid
TX00SL28Medicare PIN
TXC22970Medicare UPIN