Provider Demographics
NPI:1780948091
Name:JUAN H. SERRAN M.D., P.A.
Entity type:Organization
Organization Name:JUAN H. SERRAN M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:HERNAN
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-522-0680
Mailing Address - Street 1:1200 BINZ ST STE 1195
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6961
Mailing Address - Country:US
Mailing Address - Phone:713-522-0680
Mailing Address - Fax:713-522-8985
Practice Address - Street 1:1200 BINZ ST STE 1195
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6961
Practice Address - Country:US
Practice Address - Phone:713-522-0680
Practice Address - Fax:713-522-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3766174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty