Provider Demographics
NPI:1457532624
Name:NAVEED MUGHAL MD PA
Entity Type:Organization
Organization Name:NAVEED MUGHAL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-477-7746
Mailing Address - Street 1:18220 TOMBALL PKWY
Mailing Address - Street 2:SUITE #340
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4347
Mailing Address - Country:US
Mailing Address - Phone:281-477-7746
Mailing Address - Fax:281-477-0067
Practice Address - Street 1:18220 TOMBALL PKWY
Practice Address - Street 2:SUITE #340
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-477-7746
Practice Address - Fax:281-477-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9622207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0089GKOtherBCBS
TX029446401Medicaid
TXG36788Medicare UPIN
TX00043SMedicare PIN