Provider Demographics
NPI:1891768149
Name:MEMORIAL OBSTETRICIANS AND GYNECOLOGISTS,P.A.
Entity Type:Organization
Organization Name:MEMORIAL OBSTETRICIANS AND GYNECOLOGISTS,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELOFER
Authorized Official - Middle Name:SHAH
Authorized Official - Last Name:DURRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-862-6169
Mailing Address - Street 1:1631 NORTH LOOP W
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1528
Mailing Address - Country:US
Mailing Address - Phone:713-862-6169
Mailing Address - Fax:713-862-1003
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:SUITE 490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1500
Practice Address - Country:US
Practice Address - Phone:713-862-6169
Practice Address - Fax:713-862-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00024RMedicare PIN