Provider Demographics
NPI:1669869368
Name:MOHAMED EL BEHEARY, MD, PA
Entity type:Organization
Organization Name:MOHAMED EL BEHEARY, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-BEHEARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-646-4361
Mailing Address - Street 1:9002 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE G 331
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2509
Mailing Address - Country:US
Mailing Address - Phone:832-646-4361
Mailing Address - Fax:
Practice Address - Street 1:290 E MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4319
Practice Address - Country:US
Practice Address - Phone:832-646-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1313207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty