Provider Demographics
NPI:1922040633
Name:NACHIMSON, JOEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:E
Last Name:NACHIMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOEL
Other - Middle Name:E
Other - Last Name:NACHIMSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:800 PEAKWOOD DR
Mailing Address - Street 2:SUITE 7J
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2900
Mailing Address - Country:US
Mailing Address - Phone:281-440-1632
Mailing Address - Fax:281-440-8397
Practice Address - Street 1:800 PEAKWOOD DR
Practice Address - Street 2:SUITE 7J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2900
Practice Address - Country:US
Practice Address - Phone:281-440-1632
Practice Address - Fax:281-440-8397
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139043715Medicaid
TXE10102Medicare UPIN
TX139043715Medicaid