Provider Demographics
NPI:1457728081
Name:HUMAYUN ANJUM,PLLC
Entity Type:Organization
Organization Name:HUMAYUN ANJUM,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMAYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANJUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-885-7722
Mailing Address - Street 1:PO BOX 271129
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78427-1129
Mailing Address - Country:US
Mailing Address - Phone:361-885-7722
Mailing Address - Fax:361-885-7792
Practice Address - Street 1:1711 W WHEELER AVE STE 1
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-4536
Practice Address - Country:US
Practice Address - Phone:361-885-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1351207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty