Provider Demographics
NPI:1710309372
Name:ARTHRITIS CLINIC OF CYPRESS AND KATY PA
Entity Type:Organization
Organization Name:ARTHRITIS CLINIC OF CYPRESS AND KATY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-343-9152
Mailing Address - Street 1:777 S FRY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2244
Mailing Address - Country:US
Mailing Address - Phone:718-210-3312
Mailing Address - Fax:
Practice Address - Street 1:2630 N MASON RD STE A2
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3059
Practice Address - Country:US
Practice Address - Phone:718-210-3312
Practice Address - Fax:281-717-4136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty