Provider Demographics
NPI:1881636116
Name:INFECTIOUS DISEASES CONSULTANTS, PA
Entity Type:Organization
Organization Name:INFECTIOUS DISEASES CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:V
Authorized Official - Last Name:VARTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-777-7751
Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:740
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-777-7751
Mailing Address - Fax:713-777-2715
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:740
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-777-7751
Practice Address - Fax:713-777-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099945002Medicaid
TX099945002Medicaid