Provider Demographics
NPI:1649939505
Name:NATIONAL PHYSICIAN SERVICES PC
Entity type:Organization
Organization Name:NATIONAL PHYSICIAN SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JODHVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:604-516-9274
Mailing Address - Street 1:10375 RICHMOND AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4165
Mailing Address - Country:US
Mailing Address - Phone:713-337-3016
Mailing Address - Fax:
Practice Address - Street 1:3604 BRITTON RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-7854
Practice Address - Country:US
Practice Address - Phone:604-516-9274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty