Provider Demographics
NPI:1720377716
Name:SOUTHERN OAKS MEDICAL CLINIC, INC
Entity Type:Organization
Organization Name:SOUTHERN OAKS MEDICAL CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:EMRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-272-0500
Mailing Address - Street 1:8449 W BELLFORT ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2245
Mailing Address - Country:US
Mailing Address - Phone:713-272-0500
Mailing Address - Fax:
Practice Address - Street 1:8449 W BELLFORT ST
Practice Address - Street 2:SUITE 370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2245
Practice Address - Country:US
Practice Address - Phone:713-272-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty