Provider Demographics
NPI:1972134062
Name:NORTH HOUSTON INTERNAL MEDICINE AND PEDIATRIC CLINIC PLLC
Entity Type:Organization
Organization Name:NORTH HOUSTON INTERNAL MEDICINE AND PEDIATRIC CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJASEKARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAMALAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-246-1100
Mailing Address - Street 1:11011 NORTHPOINTE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1572
Mailing Address - Country:US
Mailing Address - Phone:281-246-1100
Mailing Address - Fax:832-336-3799
Practice Address - Street 1:11011 NORTHPOINTE BLVD STE C
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-1572
Practice Address - Country:US
Practice Address - Phone:281-246-1100
Practice Address - Fax:832-336-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty