Provider Demographics
NPI:1881862738
Name:INTERNAL MEDICINE SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:B.
Authorized Official - Middle Name:J
Authorized Official - Last Name:SORRELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-526-5606
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 1410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-526-5606
Mailing Address - Fax:713-526-2321
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 1410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-526-5606
Practice Address - Fax:713-526-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00FX92Medicare PIN
TXC50225Medicare PIN