Provider Demographics
NPI:1790007383
Name:HOUSTON INFECTIOUS DISEASES INPATIENT CONSULTANTS
Entity Type:Organization
Organization Name:HOUSTON INFECTIOUS DISEASES INPATIENT CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURGERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-791-4882
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:STE 1410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-791-4882
Mailing Address - Fax:713-791-4159
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:STE 1410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-791-4882
Practice Address - Fax:713-791-4159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty