Provider Demographics
NPI:1790414704
Name:HOUSTON LIVER INSTITUTE INC
Entity Type:Organization
Organization Name:HOUSTON LIVER INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUREDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-809-3234
Mailing Address - Street 1:1155 DAIRY ASHFORD ROAD
Mailing Address - Street 2:STE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3012
Mailing Address - Country:US
Mailing Address - Phone:281-809-3234
Mailing Address - Fax:281-809-3287
Practice Address - Street 1:1155 DAIRY ASHFORD ROAD
Practice Address - Street 2:STE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3012
Practice Address - Country:US
Practice Address - Phone:281-809-3234
Practice Address - Fax:281-809-3287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty