Provider Demographics
NPI:1902206139
Name:INTERNAL MEDICINE ASSOCIATES OF HOUSTON PA
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF HOUSTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHALAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BATCHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-436-4566
Mailing Address - Street 1:10970 SHADOW CREEK PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0100
Mailing Address - Country:US
Mailing Address - Phone:713-436-4566
Mailing Address - Fax:713-436-4866
Practice Address - Street 1:10970 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-0100
Practice Address - Country:US
Practice Address - Phone:713-436-4566
Practice Address - Fax:713-436-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty